| NPI | 1114052396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC STEVENS Dme Manager 770-292-9747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2012-02-07 |