| NPI | 1174971360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARMELE WEST Owner 770-292-8348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: GA CO098641) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-05-27 |