| NPI | 1073708277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYL WAYNE LOCKLEAR President 910-774-3295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 01330) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |