| NPI | 1225065147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L HEDGES President 423-629-7793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA 3037) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 3037) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2008-06-20 |