| NPI | 1497995971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XUONG TIEN TANG President 770-441-9808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 303807993) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2022-02-25 |