Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amputee Prosthetic Clinic, Co

Organization Prosthetic/Orthotic Supplier · NPI 1578590972

Amputee Prosthetic Clinic, Co is a Prosthetic/Orthotic Supplier in Tifton, Georgia. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

805 Camden Way
Tifton, GA 31794-8093
Phone: (229) 387-6600
Fax: (229) 387-7800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1578590972
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pam Young — Off. Manager/Owner · (478) 474-5678
Other names Amputee Prosthetic Clinic
NPI enumeratedJune 28, 2006
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024
Mailing address4900 Mercer University Dr, Macon, GA 31210-6239

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