| NPI | 1730533449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DAWN GIBSON Owner/Partner 404-935-2793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |