NPI | 1770325151 |
---|---|
Entity Type | Organization |
Authorized Contact | CATHRYN BONAR Compliance Officer 404-416-3905 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-06-07 |
Last Update Date | 2024-06-10 |