| NPI | 1174117626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY O'STEEN CFO 912-535-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-02-25 |