| NPI | 1184865420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA ONI PARKER Vice President 912-341-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA CFts0624) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2009-06-16 |