| NPI | 1386001378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYATTA K WILLIS President 470-275-5358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |