| NPI | 1598612780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY FRANK MCCONKEY Billing Development Directer 770-823-1510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156F00000X Technician/Technologist |
| Additional Taxonomies | 251E00000X Home Health |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 251T00000X PACE Provider Organization | |
| 261Q00000X Clinic/Center | |
| 281P00000X Chronic Disease Hospital | |
| 282N00000X General Acute Care Hospital | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2026-03-16 |
| Last Update Date | 2026-03-16 |