| NPI | 1427123710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIANO M CHETAN Director 770-772-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 303697797) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2008-07-30 |