| NPI | 1336437474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WYATT WALTMAN CEO 601-936-7533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2011-07-11 |