| NPI | 1063901072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK NUGENT HILL Owner/Operator 843-475-1033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |