| NPI | 1104921998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA LYNN JONES Billing Manager 910-642-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2011-06-28 |