NPI | 1972984813 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDY DAVENPORT Operations Manager 706-612-9856 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA ga4569) |
Enumeration Date | 2015-06-16 |
Last Update Date | 2015-06-16 |