| NPI | 1972910768 |
|---|---|
| Doing Business As | CAVELL'S SPECIALTY BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | ASHLEY S THOMPSON Owner/CEO 770-972-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2021-01-12 |