| NPI | 1265153670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTTY DEWAYNE SAMS Owner/ Prosthetist 256-393-5183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2022-09-06 |