| NPI | 1407070782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORA WILLIAMS Office Mngr. 912-351-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |