| NPI | 1558534321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DARRIN HURST Podiatrist 731-925-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN DPM0000000565) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2011-09-07 |