| NPI | 1720228653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY D HEAD Director 770-536-9864 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 40404) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2017-09-20 |