| NPI | 1700333796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA K BUNCH Manager 478-451-5187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 4495510001) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |