| NPI | 1679780936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA C MONROE Owner 706-546-7073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA OT000600) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: GA OT000600) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |