NPI | 1497851513 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES PHILIP PICKARD O PT Ician/Store Manager 336-786-4173 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-09-16 |
Last Update Date | 2008-02-14 |