| NPI | 1790841203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY E. ONUKOGU President 770-218-6899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BD1200X Durable Medical Equipment & Medical Supplies Dialysis Equipment & Supplies (Licence: GA 4984940002) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |