| NPI | 1316970684 |
|---|---|
| Other Name | MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | TAJJ R SEMIENS Owner/Manager 770-323-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2008-05-05 |