| NPI Details | |
|---|---|
| NPI | 1104807783 |
| Enumeration Date | 11/09/2005 |
| Last Updated | 12/23/2009 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | MICHAEL C MICHAEL |
| Position | OWNER |
| Phone | (803) 419-6766 |
| Fax | (803) 419-6645 |
| Practice Location | |
|---|---|
| 7221 BROOKFIELD RD COLUMBIA SC, 29223-2215, US |
|
| Phone | (803) 419-6766 |
| Fax | (803) 419-6645 |
| Business Location | |
|---|---|
| 7221 BROOKFIELD RD COLUMBIA SC, 29223-2215, US |
|
| Phone | (803) 419-6766 |
| Fax | (803) 419-6645 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 332B00000X |
| License State | |
| License Number | |
| Remove 1104807783 NPI Number | |
According to our database, Southeastern Medical Supply Co NPI is 1104807783, taxonomy code is 332B00000X Southeastern Medical Supply Co physically located at 7221 Brookfield Rd, Columbia SC, 29223-2215. NPI Number 1033115704 has the healthcare provider type.
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1104807783 NPI number is provided on an as is basis without warranty of any kind. 1104807783 is maintained by the National Plan & Provider Enumeration System. The contents of Southeastern Medical Supply Co are for informational purposes only.
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