| NPI | 1891934386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHADWICK THEODORE GLASS Owner 404-546-3587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MT 332B00000X) |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2009-02-06 |