| NPI | 1578271896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONECIA PERRIN-SULLIVAN Owner 706-373-9184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist Prosthetics Case Management |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-11-07 |