| NPI | 1205119294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGERS FULCHER GOTIER CEO 770-648-8622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |