| NPI | 1093410722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE BECKFORD Owner 770-939-9293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 125K00000X Advanced Practice Dental Therapist |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-06 |