| NPI | 1316955560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE AUSTIN Office Manager 912-384-4771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: GA 00080) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA 000080) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2012-03-27 |