| NPI | 1740463462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD BERNARD BIVINS C.E.O. 404-468-6744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2020-01-07 |