| 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 |