| NPI | 1689636789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY C THOMPSON Area Manager 706-736-3664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2008-04-02 |