| NPI | 1215060231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY LOWERY Manager Owner 910-865-9005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NC 335E00000X) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 332B00000X) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2025-09-11 |