| NPI | 1104009802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD WYNN Director Of Business Development 404-310-0803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2007-12-17 |