| NPI | 1831998228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS BIVINS Authorized Official 404-483-1590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-10 |