| NPI | 1568974749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN O THREADGILL Counsel 843-694-6786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-10-28 |
| Last Update Date | 2017-10-28 |