| NPI | 1154507077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS L BELCHER President 678-663-1501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-02-13 |