| NPI | 1891924353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY M EWING Owner 770-972-0763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: GA 2009018070) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2009-07-06 |