NPI | 1104211879 |
---|---|
Doing Business As | SOUTHERN COMFORT MEDICAL SUPPLY |
Entity Type | Organization |
Authorized Contact | DONECIA PERRIN-SULLIVAN Owner 706-373-9184 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management |
261QH0100X Clinic/Center, Health Services | |
335E00000X Prosthetic/Orthotic Supplier | |
Enumeration Date | 2015-03-31 |
Last Update Date | 2022-11-01 |