| NPI | 1265946834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WALL Managing Partner 404-629-3278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2017-11-19 |
| Last Update Date | 2017-11-19 |