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

Wooten Prosthetics Inc

Organization Prosthetic/Orthotic Supplier · NPI 1154367548

Wooten Prosthetics Inc is a Prosthetic/Orthotic Supplier in Riverdale, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

203 Medical Way Ste B
Riverdale, GA 30274-2517
Phone: (770) 991-7128
Fax: (770) 991-7130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence N/A (GA)

Record details

NPI number1154367548
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jan Wooten — Owner/Ceo · (770) 991-7128
NPI enumeratedJune 22, 2006
Last updated in NPPESSeptember 12, 2013
Mailing address203 Medical Way, Suite B, Riverdale, GA 30274-2517

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