| NPI | 1790966083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA S REECE Owner 678-454-0180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA LIC-11-07-15732) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: GA LIC-11-07-15732) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |