| NPI | 1508841651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA Z MCDONALD Office Manager 601-936-7747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MS 061117768) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2014-03-11 |