| NPI | 1578510475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C RALPH HOOPER JR Owner/President 843-577-9577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2012-08-08 |