| NPI | 1164742326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA M WILLIAMS Reimbursement Specialist Cpar 678-777-6394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |