| NPI | 1164691598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH B SMITH Owner General Manager 770-908-5666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 20020660338) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-06-20 |