| NPI | 1780740969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA LYNN JONES Billing Manager 910-642-2250 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2024-04-25 |