| NPI | 1790951788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE J GOULD Md/ Physician Medical Director 770-281-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 032740) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2010-11-24 |