| NPI | 1669644522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SHOCKLEY Owner/O PT Ometrist 770-254-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 0786430001) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-07-16 |