| NPI | 1275764110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE BOND CEO 228-230-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2023-09-07 |