| NPI | 1063727691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA L WHITLOCK Owner 843-294-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: SC 026540789) |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2010-08-06 |