| NPI | 1407168131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK CLAY GILLEY President 770-842-0679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2010-07-10 |