NPI | 1942499900 |
---|---|
Entity Type | Organization |
Authorized Contact | TERESA G. JACKSON Adm. Asst. 336-768-1270 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NC 75970) |
Enumeration Date | 2007-10-16 |
Last Update Date | 2007-10-16 |