| NPI | 1083944482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE MITCHEL PATE CEO 770-973-9518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: GA 2009#75736) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |