| NPI | 1043684491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH VICTORIA HAYNES Senior Counsel And Cco 704-249-0663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2022-03-25 |