| NPI | 1578185963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J LINGO President 706-566-9118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2022-03-23 |