| NPI | 1962680017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODERICK DAVIS MCLEOD Member 404-217-9421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2010-05-24 |