| NPI | 1750529004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON B EVANS Owner 404-316-0332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 09000142) |
| Enumeration Date | 2009-01-24 |
| Last Update Date | 2009-01-24 |