| NPI | 1659478931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES H WADICK President 864-850-6293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: SC 039 123929) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-06-26 |