| NPI | 1659477925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH CHUKE Manager 770-246-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 332B00000X) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2008-09-02 |