| NPI | 1043264666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEE BOWMAN Chief Manager 901-301-1266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2008-12-03 |