| NPI | 1083812200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA PRINCE HERRON Office Director 706-549-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA POD000733) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2008-06-27 |