| NPI | 1003929936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS O'GWYNN President 251-666-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 436) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-10-29 |