| NPI | 1609875384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN E CUMMINGS President 912-489-1179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: GA PHRE008237) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2007-08-06 |