| NPI | 1386134849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY BENCHWICK Director Of Credentialing 706-494-3193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |