| NPI | 1730189028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIS H SMITHERMAN President 334-792-4330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 172) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: AL 001) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2012-09-05 |