| NPI | 1598236200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA ALEXANDER Billing Manager 678-257-7078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2022-05-20 |