| NPI | 1255568630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM ALAN CONLEY Owner 770-851-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 305748849) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2009-06-12 |