| NPI | 1699492389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTAY T MARDNER Owner 470-861-5798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2022-10-24 |