| NPI | 1639751720 |
|---|---|
| Former Legal Business Name | BOLAND PROSTHETIC & ORTHOTIC CENTER |
| Entity Type | Organization |
| Authorized Contact | MELISSA R SCARBORO Office Manager 478-953-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2021-04-27 |