| NPI | 1891976809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY KENNETH COGGINS Owner 864-596-9922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2008-01-14 |