| NPI | 1770896151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA P FERGUSON Owner 404-559-5190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |