| NPI | 1831273747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL JERAULD Dme Manager 770-974-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-11-07 |