| NPI | 1346667763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M. PUCKETT President/Owner 912-354-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA 28) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2024-06-03 |