| NPI | 1619709953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE A. DUNCAN VP Of Revenue 678-332-6122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2024-08-15 |