| NPI | 1972960995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD J. SHELTON Owner 770-885-9182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |