NPI | 1134605223 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA GRACE FROMKIN Director Of Credentialing 706-494-3071 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2018-07-12 |
Last Update Date | 2023-08-18 |