NPI | 1558672386 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY PETER SANTULLI President 770-339-1190 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2010-06-26 |
Last Update Date | 2015-09-30 |