| NPI | 1598795759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE GREGG TAYLOR Co Owner 601-939-1808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 06906/11.1) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2008-04-17 |