NPI Details | |
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NPI | 1104807783 |
Enumeration Date | 11/09/2005 |
Last Updated | 12/23/2009 |
Entity Type | Healthcare Provider |
Active | Over 12 years ago |
Authorized Information | |
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Name | MICHAEL C MICHAEL |
Position | OWNER |
Phone | (803) 419-6766 |
Fax | (803) 419-6645 |
Practice Location | |
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7221 BROOKFIELD RD COLUMBIA SC, 29223-2215, US |
|
Phone | (803) 419-6766 |
Fax | (803) 419-6645 |
Business Location | |
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7221 BROOKFIELD RD COLUMBIA SC, 29223-2215, US |
|
Phone | (803) 419-6766 |
Fax | (803) 419-6645 |
Toxanomy | |
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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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