| NPI | 1265550792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L. MILES President 770-321-1772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 9105832) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |