| NPI | 1619204724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY NESKORIK President 706-631-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA LCB20090060348) |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2009-11-10 |