| NPI | 1760051700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER DALE SIMS Manager 678-654-5305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2021-06-23 |