| NPI | 1124462528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA S DIPRIMA Owner 706-291-1490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-07-30 |