| NPI | 1194904540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH DAVID GOEWEY Billing Manager 706-232-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 000484) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2014-09-12 |