| NPI | 1639358724 |
|---|---|
| Other Name | RAYMOND JIMISON |
| Entity Type | Organization |
| Authorized Contact | SANDRA HUMM JIMISON O PT Ician 843-524-8302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: SC 634) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2011-04-08 |