| NPI | 1477672780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG V REEVES Owner 706-291-4642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA GA 963) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-01-14 |