| NPI | 1235211269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ANTHONY BURCH CEO 770-270-5808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA Applied For) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA Applied For) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |