| NPI | 1255331971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY BOYLSTON President 770-254-1017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2011-12-01 |