| NPI | 1255642542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD LAMAR HUTTO President 706-507-4254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA GA0000018) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2010-07-01 |