NPI | 1528241791 |
---|---|
Doing Business As | GEORGIA BRACE & SPINE |
Entity Type | Organization |
Authorized Contact | IVAN RUIZ Owner/President 770-335-7989 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA 51) |
Enumeration Date | 2007-12-11 |
Last Update Date | 2011-05-25 |