| NPI | 1841023124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH CALHOUN Authorized Official 770-372-4568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2025-05-07 |