| NPI | 1124032446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES S. GRAVES President 601-366-4244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 07037/11.1) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2020-08-22 |