NPI | 1427187558 |
---|---|
Entity Type | Organization |
Authorized Contact | DORIS WILKES Authorized Official 478-224-1061 |
Organization Subpart ? | Yes |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-03-05 |
Last Update Date | 2017-03-03 |