| NPI | 1639358062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY DALE BAILEY President/Clinical Consultant 770-832-1227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 2360630tf) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2011-05-04 |