| NPI | 1891234670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEFYLON CAMERON Director 470-545-3370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |