Organization
COMBAT FOOTGEAR INC.
Active
Other names
COMBAT FOOTGEAR INC.
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH LAFAVOR (OWNER)
(706) 464-8652
Entity
Organization
Contact information
Practice address
2039 TORCH HILL RD STE 104, COLUMBUS, GA 31903-2700
(706) 464-8652
Mailing address
2039 TORCH HILL RD STE 104, COLUMBUS, GA 31903-2700
(706) 464-8652
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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