| NPI | 1154653145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE A. JOHNSON Owner/ President 843-412-3102 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2022-06-06 |