| NPI | 1184338253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIA R. DENT Specialist 601-661-8326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-01-12 |