| NPI | 1972920924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT DAMRON Managing Member 678-486-7262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 3560) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-07-17 |