| NPI | 1598009821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHRISTOPHER O'GWYNN President 251-947-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 2013-008888) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |