Wooten Prosthetics INC

NPI #1154367548 in Riverdale, Georgia

Provider Information

NPI Number
1154367548
Entity Type
Organization
Organization Name
Wooten Prosthetics INC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Jun 22, 2006
Last Updated
Sep 12, 2013

Practice Location

Address
203 MEDICAL WAY
Address 2
SUITE B
State
Georgia
ZIP Code
30274-2517
Phone
(770) 991-7128

Authorized Official

Name
MR. JAN L WOOTEN, CP
Title
OWNER/CEO
Phone
(770) 991-7128

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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