| NPI | 1013002013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DUNCAN WELSH CEO 803-329-7772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332900000X Non-Pharmacy Dispensing Site (Licence: SC MD 13388) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2009-04-24 |