| NPI | 1437377934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN CLEMENTS Manager 770-868-0119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |