| NPI | 1306290648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUNJED SALEM Owner 252-333-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 623) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: NC 623) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2019-04-18 |