| NPI | 1710342308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY KILLOUGH President 706-327-8993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AL 467) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |