| NPI | 1407663818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA KING Administrator 404-578-7520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2024-12-18 |