| NPI | 1003103243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | S. GLENN KNOWLES Co Owner 770-652-6928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-08-10 |