| NPI | 1053749341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON DIXON CEO 770-642-6003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA COSA029717) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |