| NPI | 1457772014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWARD PUGH Owner 601-428-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2014-12-10 |