| NPI | 1346537230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA L. MALONE Sole Proprietor 678-234-2987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-06-30 |