NPI | 1205027844 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN BRET LEE President 601-664-7004 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MS 061187399) |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2007-08-08 |
Last Update Date | 2020-03-11 |