| NPI | 1811334527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE A JOHNSON President 843-614-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2022-06-10 |