| NPI | 1811170509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY M GROLEMUND Owner 912-264-6150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA POD000543) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2007-12-17 |