| NPI | 1083895304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY LEE BIRTON Partner 864-631-8324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 030123802) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |