FOURROUX PROSTHETICS, INC


Address: 6630 Mcginnis Ferry Rd Ste A, Duluth, GA 30097-1563
Phone: 6785841706

FOURROUX PROSTHETICS, INC (NPI# 1336542224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336542224
Entity Type Organization
Organization Name FOURROUX PROSTHETICS, INC
Practice Address 6630 Mcginnis Ferry Rd Ste A
Duluth
GA 30097-1563
Mailing Address 2743 Bob Wallace Ave Sw
Huntsville
AL 35805-4103
Practice Telephone 6785841706
Practice Fax Number 8009635010
Mailing Telephone 2565348672
Mailing Fax Number 8009635010
Enumeration Date 2014-10-06
Last Update Date 2020-10-28
Authorized Official Name MR. W KEITH WATSON (OWNER / PRESIDENT)
Authorized Official Telephone 2565348672
Authorized Official Credential CPO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
GA 003182704A 05
GA BCBS OF GEORGIA 35558878 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1831705805 Fourroux Prosthetics, Inc Prosthetic/Orthotic Supplier 5453 N 59th St, Tampa, FL 33610-2011 2020-09-16
1962042440 Fourroux Prosthetics, Inc Prosthetic/Orthotic Supplier 9665 Page Avenue, Overland, MO 63132 2020-01-13
1558787929 Fourroux Prosthetics, Inc Prosthetic/Orthotic Supplier 2867 Acton Rd, Vestavia, AL 35243-2501 2014-03-10
1558786905 Fourroux Prosthetics, Inc Prosthetic/Orthotic Supplier 5209 Linbar Dr Ste 603, Nashville, TN 37211-1027 2014-02-21
1386788636 Fourroux Prosthetics, Inc Prosthetic/Orthotic Supplier 6740 Reese Road, Memphis, TN 38133-4978 2007-02-19
1528089604 Fourroux Prosthetics, Inc Prosthetic/Orthotic Supplier 2743 Bob Wallace Ave Sw, Huntsville, AL 35805-4103 2006-07-22

Office Location

Street Address 6630 MCGINNIS FERRY RD STE A
City DULUTH
State GA
Zip Code 30097-1563

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659986057 Herman Medical Solutions, LLC Internal Medicine 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 2020-09-11
1649808619 Kirsty Amber Ramirez Behavior Technician 218 Premiere Pkwy #500, Duluth, GA 30097 2020-03-27
1386277820 Cristina Madalina Niculas Pharmacist Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 2020-02-12
1619514924 Opesdei Health Solutions Home Health Aide 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 2019-12-05
1700422979 Ria Alexander Nurse Practitioner 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 2019-11-22
1043867765 Mosesal Zakia White Nurse Practitioner 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 2019-08-19
1982187068 Lighthouse Clinical Counseling, LLC Counselor 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 2018-09-13
1376025643 Faithe Beanne Kimsey Counselor 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 2018-09-04
1306330303 Denise Jackson Prosthetist 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 2018-06-21
1407363328 Berkeley Van Dyke Physical Therapist 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 2017-12-30
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861905325 Cranial Technologies, Inc. Prosthetic/Orthotic Supplier 3235 Satellite Blvd Ste 150, Duluth, GA 30096-2382 2017-11-07
1073065298 Language of Hair Prosthetic/Orthotic Supplier 1615 London Rd, Duluth, MN 55812-1620 2016-11-04
1053626416 S2 Medical Supply, LLC Prosthetic/Orthotic Supplier 2780 Peachtree Industrial Blvd Ste C, Duluth, GA 30097-7910 2010-08-10
1962579482 Northern Orthotic and Prosthetic Center Prosthetic/Orthotic Supplier 925 East Superior St, Ste 102, Duluth, MN 55802 2006-11-29
1073582003 Medical Aid Supply House Inc Prosthetic/Orthotic Supplier 3547 Peachtree Industrial Blvd, Suite 4, Duluth, GA 30096-1419 2006-03-14
1265412894 Home Care Oxygen Service Inc Prosthetic/Orthotic Supplier 115 N 24th Ave W, Suite A-1, Duluth, MN 55806-1923 2006-01-19
1982607222 Medical Aid Supply House Inc Prosthetic/Orthotic Supplier 3455 Peachtree Industrial Blvd, Ste 980, Duluth, GA 30096-6506 2005-05-31
1083797252 Midwest Medical Equipment & Supplies, Inc Prosthetic/Orthotic Supplier 530 E 2nd St, Duluth, MN 55805-1913 2006-10-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548860810 Crowns of Love Inc Prosthetic/Orthotic Supplier 707 Park Ave Ne Apt 1382, Atlanta, GA 30326-3410 2020-10-27
1447860150 Shadae Renee Medical Wigs Prosthetic/Orthotic Supplier 10719 Alpharetta Hwy # 1792, Roswell, GA 30076-2432 2020-08-06
1114535432 Beauty Zone2 Medical Wigs Prosthetic/Orthotic Supplier 252 Keys Ferry St, Mcdonough, GA 30253-3342 2020-07-22
1619594389 Legally Laced Prosthetic/Orthotic Supplier 1000 Corporate Pointe Ste 214, Warner Robins, GA 31088-3440 2020-06-29
1093332009 Jazzy Wigs, Rx Prosthetic/Orthotic Supplier 59 Urey Emerson Dr, Richland, GA 31825-6636 2020-06-25
1174147938 Salon Asya Mignon LLC Prosthetic/Orthotic Supplier 4290 Memorial Dr Ste B1, Decatur, GA 30032-1225 2020-06-07
1023630928 Michelles Beauty Bar Prosthetic/Orthotic Supplier 3662 Druid Oaks Dr, Valdosta, GA 31605-6542 2020-05-13
1366063596 Stylish Styles By Tee Prosthetic/Orthotic Supplier 6595 Roswell Rd Ste G1169, Atlanta, GA 30328-3152 2020-04-28
1518503432 Regina Murff-love Prosthetic/Orthotic Supplier 341 Indus Ln, Lawrenceville, GA 30044-3835 2019-11-26
1417508995 Priscilla Denise Brown Prosthetic/Orthotic Supplier 38200 3rd Ave, Fort Gordon, GA 30905 2019-09-25
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Competitor

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City DULUTH
Zip Code 30097

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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