| NPI | 1265760946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEDDY O GANDY Vice President 336-457-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 8005047) |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2009-11-18 |