| NPI | 1861797474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS MOSS Owner 229-259-9962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 041178) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-19 |