| NPI | 1396725818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELBERT LEWIN CARROLL Vice President Operations 770-460-0612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: GA 200001209) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-08-22 |