| NPI | 1124347364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNIE L STREAT CEO 912-285-5200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2016-09-28 |