| NPI | 1952357873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY EZZARD President 770-458-1329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: GA 20000596130) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2013-04-17 |