| NPI | 1164789632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELDON EBERHART Director 404-551-6502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-04-20 |