NPI | 1073174603 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN GILBERT COTHAM CEO 704-658-0817 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2019-06-25 |
Last Update Date | 2021-03-03 |