| NPI | 1972324945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAKIYA WILLIS-COPELAND Owner/Practitioner 706-512-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-10-22 |