| NPI | 1689074858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD PERRY JACKSON Pres 704-236-7459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-08-25 |