| NPI | 1942241849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CARPENTER Billing/Ar Manager 229-242-3433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2022-07-21 |