| NPI | 1760259360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WALL Chief Operating Officer Cpe 678-265-8450 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2024-01-03 |