| NPI | 1033161773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L MOYD Owner/CPO 843-673-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2017-01-27 |