| 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 |