| NPI | 1821185059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES B ODOM Principal 601-939-3270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 061-18604-5) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-22 |