NPI | 1649262759 |
---|---|
Entity Type | Organization |
Authorized Contact | ROY M SHUMAN Owner/CEO 912-285-5272 |
Organization Subpart ? | No |
Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
335E00000X Prosthetic/Orthotic Supplier | |
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
Enumeration Date | 2005-08-16 |
Last Update Date | 2012-08-30 |