| NPI | 1467621375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP EDWARD DUNHAM President 770-795-0592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-06-23 |