| NPI | 1245201235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WIMBERLY KELLETT Partner 843-881-4928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 023674329) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2020-08-22 |