| NPI | 1861626723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHEL SUGG President 252-522-3278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2018-12-03 |