| NPI | 1053144022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLY CHRISTINE THOMAS Authorized Official 678-701-7310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2025-01-06 |