| NPI | 1790180313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN WOOD General Manager 912-921-7135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |