| NPI | 1134900244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA MCGREGOR Compliance Officer 678-824-6290 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2023-10-13 |