| NPI | 1225202807 |
|---|---|
| Doing Business As | REGIONAL BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | LIBBY RENFROE Credentialing Coordinator 706-660-6410 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2015-06-05 |