| NPI | 1255516993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSI PENNINGTON Office Manager 912-681-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |