NPI | 1164754446 |
---|---|
Doing Business As | COASTAL MEDICAL EQUIPMENT & UNIFORMS |
Entity Type | Organization |
Authorized Contact | TERRI L BRAKE President 912-427-6600 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: GA 004501) | |
Enumeration Date | 2010-02-11 |
Last Update Date | 2019-01-25 |