| NPI | 1942287131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM PERNELL Administrator 404-292-9190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2007-11-02 |