| NPI | 1306809199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS BRANDT HAYNES Partner 931-473-9624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2021-05-26 |