| NPI | 1629030721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY C. THOMPSON Area Manager 706-736-3664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2010-08-25 |