| NPI | 1083874093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY N CONNER Member/Owner 770-354-0539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2013-02-26 |