| NPI | 1659502367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL EVANS Owner 912-988-3156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 001793) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2012-10-04 |