The Longstreet Clinic Pc is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Gainesville, Georgia. This organization is also known as sub part of The Longstreet Clinic, Pc. It is situated at 725 Jesse Jewell Pkwy Se, Gainesville and its contact number is 770-533-6680. The authorized person of The Longstreet Clinic Pc is Amelia Lowe Collins
who is Ceo of the store and his/her contact number is 770-718-1122. The Longstreet Clinic Pc is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Center Profile:
The Longstreet Clinic Pc Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
725 Jesse Jewell Pkwy Se, Gainesville, Georgia, 30501-3834
Phone:
770-533-6680
Fax:
770-533-6681
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Amelia Lowe Collins
Position:
Ceo
Contact Number:
770-718-1122
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for The Longstreet Clinic Pc center are as mentioned below.
NPI Number:
1053422428
Parent Organization:
The Longstreet Clinic, Pc
NPI Enumeration Date:
31 Aug, 2006
NPI Last Update On:
23 Nov, 2011
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for The Longstreet Clinic Pc are as mentioned below.
Specialization
License Number
State
Status
Primary
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1154222
Other
Ncpdp Provider Identification Number
439568713A
Medicaid
Georgia
439568713B
Medicaid
Georgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
The Longstreet Clinic Pc Po Box 658, Gainesville, Georgia
Zip:
30503-0658
Phone Number:
770-718-1122
Fax Number:
770-535-7445
Patients can reach The Longstreet Clinic Pc at 725 Jesse Jewell Pkwy Se, Gainesville, Georgia or can call to book an appointment on 770-533-6680. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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