| NPI | 1396742532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ALLEN DANNENBERG Managing Member 404-321-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA K931128) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2020-08-22 |