NPI | 1114014347 |
---|---|
Entity Type | Organization |
Authorized Contact | DONNA CARROLL Office Manager 706-861-7303 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 957) |
Enumeration Date | 2006-10-09 |
Last Update Date | 2020-08-22 |