| NPI | 1457663940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK MILES ANDERSON Territory Manager 678-858-8503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-07-13 |