| NPI | 1962782524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS DISCO Member 770-722-1041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 11064567) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2011-08-26 |