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 |