| NPI | 1366800914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY BIGLES Administrator 770-786-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |