| NPI | 1467557108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL SIDNEY THOMPSON Vice President 910-471-2962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: DE 2055) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2011-12-06 |