| NPI | 1699713545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WILSON Secretary 478-237-3609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |