| NPI | 1912117367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA W KARSCHNER General Counsel 770-939-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: GA 106901) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2009-09-01 |