| NPI | 1013083336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL S HERRINGTON Owner 912-568-7414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA PHRE008591) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |