| NPI | 1831952878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDI WILLIAMS Spa Manager 404-202-2575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-02-03 |