| NPI | 1417318015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANT PAYTON CEO 678-941-3891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 14001981) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-03-10 |