Southernbelle Entertainment Valid NPI

Individual provider · Prosthetic/Orthotic Supplier · Morrow, GA

NPI

1205356656

Type

Individual (Type 1)

Primary specialty

Prosthetic/Orthotic Supplier

Specialty group

Suppliers

Taxonomy code

335E00000X

Sex

Female

Sole proprietor

Yes

Enumerated

2017-06-26

Last updated

2017-06-26