| NPI | 1619792017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE BRAMLETT EDWARDS Owner 706-313-4715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2025-02-05 |