| NPI | 1265511547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY L BAYSDON President 910-272-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2009-02-27 |