| NPI | 1508881103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIA MCENTIRE Director Of O PT Ical 678-784-0208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2018-04-03 |