| NPI | 1699096891 |
|---|---|
| Doing Business As | CAVELL'S SPECIALTY BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | CAVELL R DUDLEY Owner/CFO 770-972-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 2010OCC004740) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2014-07-14 |