| NPI | 1235678483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARANYA CHIARAVALLOTI Director Of Revenue Services 404-350-2447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |