| NPI | 1205130143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA COLE Owner 770-907-1420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA COSA034706) |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2012-05-02 |