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MR. RUSSELL DAVID HOLCOMB LCPO
NPI 1477610475
Prosthetist in Canton, GA

Active since January 02, 2007
95 HICKORY SPRINGS IND DR, CANTON, GA 30115(770) 345-6899(770) 345-7341 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Russell David Holcomb Lcpo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RUSSELL DAVID HOLCOMB LCPO (NPI 1477610475) is an individual prosthetist provider in Canton, Georgia, licensed in Georgia (003) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1477610475
Entity TypeIndividualMale
Primary Taxonomy224P00000X
Provider Legal NameMR. RUSSELL DAVID HOLCOMBCredential: LCPO
Location Address95 HICKORY SPRINGS IND DRCanton, GA 30115-7933
Mailing Address95 Hickory Springs Industrial DrCanton, GA 30115-7933 · (770) 345-6899 · Fax (770) 345-7341
Phone(770) 345-6899
Fax(770) 345-7341
Sole ProprietorNo
Enumeration DateJanuary 2, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1477610475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
License✔ Licensed in GA · 003
Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Also ListedOrthotistTaxonomy 222Z00000X · License 003 (GA)
95 HICKORY SPRINGS IND DR, Canton, GA 30115
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Other Identifiers 1

Medicaid7700620NC

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNITED ARTIFICIAL LIMB
Prosthetic/Orthotic Supplier
95 HICKORY SPRINGS IND DR
CANTON, GA 30115
Cherokee County (770) 345-6899
MR. AUBREY SMITH LOP
Prosthetist
95 HICKORY SPRINGS IND DR
CANTON, GA 30115
Cherokee County (770) 345-6899

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Holcomb's NPI number?

The NPI number for Russell Holcomb is 1477610475. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Russell Holcomb located?

Russell Holcomb practices at 95 Hickory Springs Ind Dr, Canton, GA 30115. The listed phone number is (770) 345-6899.

What is Russell Holcomb's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Russell Holcomb was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.