Otis Boyd Gardo Jr

NPI 1093983215 - Durable Medical Equipment & Medical Supplies - 332BC3200X

NPI Details
NPI 1093983215
Enumeration Date 02/11/2008
Last Updated 02/03/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name REBECCA J. REBECCA
Position OFFICE MANAGER
Phone (864) 232-3008
Fax (864) 845-8556
Practice Location
1007 GROVE RD
SUITE E
GREENVILLE SC, 29605-4630, US
Phone (864) 232-3008
Fax (864) 845-8556
Business Location
126 COOL MEADOWS DR
PIEDMONT SC, 29673-8941, US
Phone (864) 232-3008
Fax (864) 845-8556
Toxanomy
Taxonomy Code 332BC3200X
License State
License Number
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According to our database, Otis Boyd Gardo Jr NPI is 1093983215, taxonomy code is 332BC3200X Otis Boyd Gardo Jr physically located at 1007 Grove Rd, Greenville SC, 29605-4630. NPI Number 1033115704 has the healthcare provider type.

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1093983215 NPI number is provided on an as is basis without warranty of any kind. 1093983215 is maintained by the National Plan & Provider Enumeration System. The contents of Otis Boyd Gardo Jr are for informational purposes only.