| NPI | 1063143303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW CLAYTON LEDBETTER Owner 704-472-0933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2023-01-08 |