NPI | 1356347926 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN DWAYNE MULLINS President 205-324-2461 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AL 05010916) |
Enumeration Date | 2005-06-28 |
Last Update Date | 2020-08-22 |