| NPI | 1932272663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORRIS W WALLACE President 478-741-3697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2017-03-17 |