| NPI | 1316990534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM WARREN PERRINE President 912-489-6422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA GA003170) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2012-12-27 |