| NPI | 1104850189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J THROCKMORTON President 770-512-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-12 |