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Organization
PEE DEE HOME MEDICAL SUPPLY
Active
Organization
PEE DEE HOME MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL ALTMAN (OWNER / PRESIDENT)
(843) 841-9003
Entity
Organization
Contact information
Practice address
801 HIGHWAY 301 N UNIT A, DILLON, SC 29536-2467
(843) 841-9003
Mailing address
801 HIGHWAY 301 N UNIT A, DILLON, SC 29536-2467
(843) 841-9003
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
—
SC
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
SC
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE1854
—
SC
Enumeration date
06/03/2015
Last updated
06/03/2015
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