NPI | 1972506285 |
---|---|
Doing Business As | MRS OF MACON |
Entity Type | Organization |
Authorized Contact | E THOMAS RIDDLE President 229-439-2403 |
Organization Subpart ? | No |
Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
Enumeration Date | 2005-05-31 |
Last Update Date | 2011-07-06 |