| NPI | 1396167615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC GORDON SMITH President 770-722-8531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-01-07 |