| NPI | 1669165577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH B FISER VP Corp Revenue/Managed Care 910-615-5572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2023-05-29 |