| NPI | 1578946844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY JACKSON General Manager 912-433-1187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2015-07-06 |