| NPI | 1598019002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES TODD MCKENZIE Principal 678-616-5523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |