| NPI | 1639952211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA WESTBROOK Authorized Official 678-862-8178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-11-21 |