| NPI | 1083009385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA BENTON Billing Manager 843-607-3773 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 9-14-119373) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |