| NPI | 1205117504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNATHAN JOHNSON President 678-951-9351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |