| NPI | 1376304584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIRRAH JEWEL WRIGHT Prosthetic Orthotic Provider 470-216-9166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |