| NPI | 1891684478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELYSHA MCCOY-DENNIS Owner/Manager 770-954-5824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-06-30 |