| NPI | 1790721207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN DOZIER SIDERS Owner 843-464-9688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2012-01-19 |