| NPI | 1942445481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AINSLEY PAZANT Owner 678-691-1760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 2009OCC-004391) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2010-04-08 |