| NPI | 1194750190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY D WATKINS Certified Orthotist 404-215-9944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: GA 090590LGS) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 335E00000X Prosthetic/Orthotic Supplier | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |