| NPI | 1932653292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ALVA DIMMIG President 919-220-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 38818) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2020-04-23 |