| NPI | 1750704151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE PASCHAL Office Manager 678-971-7318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-09-30 |