| NPI | 1750671681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HUNTER OLSON Owner/Physician 803-366-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 604) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2011-04-12 |