| NPI | 1720070709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANDRA DAVIS PHILLIPS Management 404-468-5903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2009-06-02 |