| NPI | 1083682215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ERNEST GODDARD Owner 706-226-0520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2023-05-25 |