| NPI | 1598279655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVENA WINSTON Consultant 404-406-6307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA OCC018144) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |