| NPI | 1295823649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA MAYNARD MICHAEL Office Manager 704-358-0670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2009-05-29 |