Organization
RESOURCE MEDICAL GROUP OF CHARLESTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG CRAWFORD (AUTHORIZED OFFICIAL)
(859) 441-8876
Entity
Organization
Contact information
Practice address
1406 COMMERCE PL, STE J, MYRTLE BEACH, SC 29577-6550
(843) 839-5101
(843) 839-5103
Mailing address
4042 ASHLEY PHOSPHATE RD, N CHARLESTON, SC 29418-8547
(843) 767-3344
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE3284
—
SC
Enumeration date
03/08/2010
Last updated
12/16/2019
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