| NPI | 1538569637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY C SMITH President 404-790-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA 47) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2020-01-30 |