| NPI | 1578950226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ANTHONY BALDREE President 229-894-7589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 11030540) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |