| NPI | 1407035710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE GATEWOOD Owner,Prosthetist,Orthotist,Pedorth 706-596-8004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 000071) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2013-10-21 |