| NPI | 1437469996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERON L. ROSENBERG CEO 404-349-7042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 145913lqb) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |