| NPI | 1225164924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA L COOK Medical Billing Manager 706-849-4159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 2007#032179) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2009-08-11 |