| NPI | 1710873823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS ANTHONY FONG-LEE Owner 770-368-2188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-06-16 |