| NPI | 1134879026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERMAINE LEROUX CEO 678-787-6848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-07-22 |