| NPI | 1770503690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREY E WILLIAMSON CEO 225-924-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2023-01-24 |