| NPI | 1568132520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J EBHOHIMEN Authorized Offical 470-491-2668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2021-09-20 |