| NPI | 1811488802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE JAMES SHEPPARD Owner 910-762-2809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-09-24 |