| NPI | 1710923693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELIA GALE WHITE Owner 229-723-8009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: GA 20015314787) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2017-04-14 |