Organization
INNOVATIVE MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EENA BARR CUNNINGHAM (OWNER/MANAGER)
(843) 382-4453
Entity
Organization
Contact information
Practice address
692 PROMISED LAND RD, KINGSTREE, SC 29556-6217
(843) 382-4453
Mailing address
692 PROMISED LAND RD, KINGSTREE, SC 29556-6217
(843) 382-4453
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
533
SC
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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