| NPI | 1164544169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANNA MCNAB Billing Agent 251-625-0680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-11-26 |