| NPI | 1518171800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA LYNN JONES Billing Manager 910-642-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2011-10-05 |