| NPI | 1730352725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILON GREEN-HICKSON CEO/President 404-406-4478 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2012-11-19 |