| NPI | 1588336929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN M JOHNSON CEO 404-437-1268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2021-10-04 |