| NPI | 1780863126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCOTT PIERCE Owner 706-549-9709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA CPO02403) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2007-11-02 |