| NPI | 1619747615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATINA MILES Admin/Clinician 706-507-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-01-02 |