| NPI | 1518502384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL EDWARD SEGAR Member 423-463-9929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |