| NPI | 1285864058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES BUMGARDNER President 843-607-6516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-07-15 |