| NPI | 1417066515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANT TYRONE PAYTON President/Ownwer 770-456-8018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-12-01 |