| NPI | 1194041228 |
|---|---|
| Other Name | SOUTHERN COMFORT SHOES AND PEDORTHIC SERVICES |
| Entity Type | Organization |
| Authorized Contact | DAVID ALLEN ALEXANDER Owner 706-434-0129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2016-03-29 |