| NPI | 1417407305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH R COLBERT Owner 678-708-3203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 42747) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |