| NPI | 1245571272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE TATLOR Manager 706-486-2481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA ga 345679) |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2013-04-05 |