| NPI | 1235188483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY L. SMALL President 843-383-6685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2006-05-07 |
| Last Update Date | 2020-08-22 |