| NPI | 1144389933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON WALLACE DEDMAN, JR Owner 770-830-9338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: GA 002023) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2020-08-22 |