| NPI | 1417924515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC HOLGATE President 706-737-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: GA 1003498) |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: GA 005962) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: GA C18145) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2020-08-22 |