| NPI | 1659384246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA A WARDRUP Billing Specialist, Cma, Cmom 864-877-8566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 023764375) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |