| NPI | 1861001133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ALVA DIMMIG Md, President 919-220-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |