| NPI | 1649302654 |
|---|---|
| Other Name | AUSTIN GANNY SOLE MEMBER |
| Entity Type | Organization |
| Authorized Contact | AUSTIN GANNY CEO 770-489-5006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2022-07-21 |