| NPI | 1881240836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALLAS C DONALD General Manager 678-401-2628 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |