| NPI | 1023255197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY TODD TYSON President 770-449-6785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |