| NPI | 1497558472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI MACKAY-MERCER Owner/Orthotist 770-800-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 222Z00000X |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-09-30 |