| NPI | 1699886838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODERIC BAIN Owner 912-443-3790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-10-29 |