| NPI | 1801582200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SMITH CEO 678-755-2554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-09-05 |