| NPI | 1487487989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY PARKS Manager 678-663-5298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 174400000X Specialist | |
| 1744G0900X Specialist Graphics Designer | |
| 1744P3200X Specialist Prosthetics Case Management | |
| 224P00000X Prosthetist | |
| 251B00000X Case Management | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |