| NPI | 1316004021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN EDWARD KURTZ President Owner 706-322-5528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA GA1821) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: GA GA1821) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-04-20 |