| NPI | 1437771110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITRA NASH PHIFER Owner 704-923-1469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2025-09-28 |