| NPI | 1306035936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY L BATES Owner 706-277-2077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA LDO2049) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2007-10-19 |