| NPI | 1124474143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ANNETTE SMITH Owner 770-356-2916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X Technician, Other (Licence: GA HO15-01256) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-08-11 |