| NPI | 1679623169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA J. THOMPSON President 843-549-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: SC 65008664) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2009-07-21 |