| NPI | 1083671606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK EDWARD SMITH Managing Member 205-248-2193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AL #51) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2020-08-22 |