| NPI | 1417419904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L KELLEY Owner/CEO 706-237-7223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |