| NPI | 1336355577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO MARTINEZ CEO 678-468-7463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2025-02-25 |