| NPI | 1003995887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA WATT CEO 770-498-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 133568) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA 133568) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2008-10-16 |