| NPI | 1164606067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS L PARKER Secretary 912-258-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |