| 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 | 2008-07-28 |