| NPI | 1720809650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNIE HAMILTON Manager/CEO 678-702-4983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-23 |