NPI | 1235019530 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY GRIMSLEY Associate CFO Clinical Operations 601-815-6270 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2025-09-05 |
Last Update Date | 2025-10-03 |