| NPI | 1497338073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAUNCA LAWSON Cranial Prosthesis Specialist 770-374-2467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2021-05-03 |