| NPI | 1437185626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA VIGGIANO DENT Insurance Manager 803-796-7840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 032345445) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2025-03-13 |