| NPI | 1255393385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R GRAHAM President 912-691-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 20011886442) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2020-08-22 |