| NPI | 1386700078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE F MCDONNEL President 678-714-0502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 301422708) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: GA 301422708) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |