| NPI | 1306460662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUISHA GENERAL Owner 706-587-2370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Additional Taxonomies | 224P00000X Prosthetist |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-16 |