| NPI | 1093742447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM D. ANDERSON Cmo 803-434-6812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2014-12-11 |