| NPI | 1225878143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SMITH Authorized Official 678-928-4148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |