| NPI | 1083100291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WILLIAM ZAAS President 336-713-4944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2025-10-16 |