| NPI | 1639515927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SULEMAN SOHANI Practice Administrator 706-279-2635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2018-03-27 |