| NPI | 1477853414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILLIAM BOYD President 336-228-1403 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2013-07-17 |