| NPI | 1619188968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN B HOLLADAY Manager 770-382-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA LDO000430) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2008-02-22 |