| NPI | 1598944126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA PENNINGTON Office Manager 912-681-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |