| NPI | 1407065204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE A SMITH Owner 910-754-2337 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: 00599) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-12-26 |