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Organization
PALMETTO OXYGEN, LLC
Active
Organization
PALMETTO OXYGEN, LLC
Active
Other names
MedBridge Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW S. MELLOTT (CFO)
(864) 527-5970
Entity
Organization
Contact information
Practice address
409 BRIARWOOD DR, SUITE 305B, JACKSON, MS 39206-3033
(601) 957-9272
(601) 957-9545
Mailing address
110 W NORTH ST, SUITE 100, GREENVILLE, SC 29601-2779
(864) 527-5970
(864) 527-5971
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
06960/11.1
MS
Other
Enumeration date
06/18/2006
Last updated
08/22/2020
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