| NPI | 1396820429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT SCOBEY President 912-351-0901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: GA 20018685869) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2012-02-28 |