| NPI | 1073640264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY JEFFREY PAYNE President 770-534-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2009-03-16 |