NPI | 1306960836 |
---|---|
Entity Type | Organization |
Authorized Contact | GLYN E. LEWIS CEO 770-422-9856 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2007-03-19 |
Last Update Date | 2012-01-05 |