NPI | 1649206137 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD GURIN President 770-903-1061 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA 2008014007) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 2008014007) |
Enumeration Date | 2006-06-25 |
Last Update Date | 2024-07-30 |