| NPI | 1215580790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEBBLES GRIFFIN-DOCKERY Manager 704-906-2498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |