| NPI | 1063593804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT M FISHER President 601-684-8923 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 02453-11.1) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2011-08-10 |