| NPI | 1811940216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN C SMITH Owner President 912-383-7552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |