| NPI | 1770585028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L. HEDGES President 706-861-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 1521) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2008-06-17 |