| NPI | 1669776084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEONG WOO President 770-622-1211 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA 7) |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2010-12-28 |