| NPI | 1598902264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISSA CARLTON NEGATY Owner 404-425-7928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA CFm01830) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2010-06-14 |