| NPI | 1073613923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW S MELLOTT President 864-527-5970 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 08228826) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2016-06-28 |