Southeastern Orthotics & Prosthetics, INC
NPI #1679572655 in Chattanooga, Tennessee
Provider Information
- NPI Number
- 1679572655
- Entity Type
- Organization
- Organization Name
- Southeastern Orthotics & Prosthetics, INC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jul 20, 2005
- Last Updated
- Jan 18, 2022
Practice Location
- Address
- 316 N HOLTZCLAW AVE
- City
- Chattanooga
- State
- Tennessee
- ZIP Code
- 37404-2305
- Phone
- (423) 698-0184
Authorized Official
- Name
- LAUREN VAUGHN
- Title
- VP OF OPERATIONS
- Phone
- (615) 890-2160
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetist |
| Prosthetic/Orthotic Supplier |
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