| NPI | 1760860811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS BANKS Owner/Managing Member 601-826-3735 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-05-09 |
| Last Update Date | 2017-04-11 |