| NPI | 1225177165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KEN MCNELLY Owner 404-373-6572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |