| NPI | 1124799895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA MICHELLE DUPREE Owner/ Prosthesis Specialist 404-457-2623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2021-09-23 |