| NPI | 1003200189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG MINTON VP, Operations 678-735-4071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |