| NPI | 1770303836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY A CLOWERS Managing Member 678-545-9195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-10-14 |