| NPI | 1326584194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY KING Director Of Credentialing 706-494-3193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-04-07 |