| NPI | 1871697508 |
|---|---|
| Doing Business As | PHOEBE CANCER CENTER BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | BRIAN ALLEN CHURCH CFO 229-312-4068 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 16760) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2018-06-07 |