NPI | 1679942312 |
---|---|
Entity Type | Organization |
Authorized Contact | DELIA KEMA DIGGS President 678-250-3392 |
Organization Subpart ? | No |
Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: GA CO075452) |
Enumeration Date | 2015-09-23 |
Last Update Date | 2015-09-23 |