| NPI | 1063445526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARTER D. FULLER President, CEO 706-965-0352 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2010-05-20 |