| NPI | 1407900509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS MARIE MALCOM President 229-924-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2015-06-17 |