| NPI | 1427077627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIS W KING President 229-639-0021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-06-13 |