| NPI | 1356543912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WAITE Partner 678-889-5372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-07-27 |