| NPI | 1902021462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ELAINE SAMPSON Vice President 770-235-8591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: GA 423450) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |