| NPI | 1154837508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHTAB ZAFAR Administrator 470-236-0482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2017-12-21 |