| NPI | 1790801041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M MAXWELL FITZGERALD CEO 770-953-4877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 2007#120651) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2010-08-16 |