| NPI | 1497100317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANTI HERNANDEZ Authorize Official 770-441-9992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 298593) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |