| NPI | 1184313702 |
|---|---|
| Other Name | BUFORD HWY |
| Entity Type | Organization |
| Authorized Contact | REBECCA BOWEN Operations Director 706-521-9358 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |