| NPI | 1053933028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ELAINE COULTON Owner 678-851-8680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-21 |