| NPI | 1710408836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GILBERT COTHAM CEO 704-658-0817 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2021-03-03 |