| NPI | 1629705900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACY DUFFEY Managing Member 404-272-7140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2022-12-10 |