| NPI | 1528025087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUENTIN T HOWELL Owner 478-414-1120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2009-12-21 |