| NPI | 1487830220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEE CARSWELL Owner 770-841-7630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 20073484133968) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2009-03-20 |