| NPI | 1649425349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE A MCGAHA Office Manager 864-859-4709 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: SC 19076) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2015-01-05 |