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Organization
PRO-MED 1 INC
Active
Organization
PRO-MED 1 INC
Active
Other names
Promed, PRO-MED, PRO-MED ONE INC, PRO MED 1, Pro Med 1 Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH SUE SLOCUM (PRESIDENT)
(843) 832-8397
Entity
Organization
Contact information
Practice address
3489 LADSON RD, SUITE B, LADSON, SC 29456-4330
(843) 832-8397
(843) 832-0552
Mailing address
3489 LADSON RD, SUITE B, LADSON, SC 29456-4330
(843) 832-8397
(843) 832-0552
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
SC
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
SC
332BX2000X
Oxygen Equipment & Supplies (DME)
—
SC
335E00000X
Prosthetic/Orthotic Supplier
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE1156
—
SC
05
—
EN2065
—
SC
Enumeration date
09/21/2005
Last updated
08/28/2024
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