| NPI | 1457593790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M PUCKETT President/Owner 912-354-7500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA 000028) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |