| NPI | 1124295365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT G CASSIDY Office Manager 843-332-5193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 50000211) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |