| NPI | 1821577248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM ALLEN D WILLIAMS Owner 706-814-3848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: GA 60) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2019-04-24 |