| NPI | 1548936909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN CARTER Chief Administrative Officer 843-300-3583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2021-08-17 |