| NPI | 1043482987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY GATES Owner 678-432-4755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 031R0040) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-07-11 |