| NPI | 1417667098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WOOTEN CEO 919-397-8768 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 208800000X Urology |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2024-04-02 |