| NPI | 1124209747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY ALAN KING Owner 828-327-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2014-04-29 |