| NPI | 1003499674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL MICHELLE ROBINSON Owner 770-366-7993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Additional Taxonomies | 174400000X Specialist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2025-09-08 |