| NPI | 1538158902 |
|---|---|
| Doing Business As | MEDSOURCE |
| Entity Type | Organization |
| Authorized Contact | ROBERT G WILSON Owner 803-926-2919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2008-04-17 |