| NPI | 1396856399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED ROBERTS Owner 678-835-4740 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 4779270001) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-02-14 |