| NPI | 1265158455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA R MCCOY Manager 478-714-4302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2022-10-18 |