| NPI | 1265830335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET GIBSON President 252-622-4506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC S28948) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NC S28948) |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies (Licence: NC S28948) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: NC S28948) | |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2015-05-04 |