| NPI | 1790160638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA R RIGGS President/Director Of Accounts 678-733-4533 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |