| NPI | 1285227389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD PEPER Owner 843-871-0842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2021-02-19 |