| NPI | 1104505866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN THOMAS PETERS Owner 334-275-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2023-07-11 |