| NPI | 1215969498 |
|---|---|
| Other Name | AMPUTEE PROSTHETIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | PAMELA S YOUNG Off. Manager/ Business Owner 478-474-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA CP2910) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2024-01-19 |