| NPI | 1366980591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN KIMBERLY SOOTER Credentialing Coordinator 803-256-4107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2023-01-19 |