| NPI | 1497105282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINSTON LIBURD Owner 404-750-2378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA COSA053764) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |