| NPI | 1215098405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE J HERNANDEZ Chief Compliance Officer 404-851-6378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2024-02-12 |