| NPI | 1376207506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ALVA DIMMIG Md/President 919-691-0929 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-10-25 |