| NPI | 1528766276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUISHA SHANKEIA GENERAL Owner 770-580-2380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-03-13 |