| NPI | 1538222757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEE FERGUSON Owner 252-332-6848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC Pending) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2008-06-26 |