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Organization

HEALTH EDGE GROUP, LLC

Active
Parent organization
HEALTH EDGE GROUP, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
HEALTH EDGE GROUP, LLC
Authorized official
BARBARA BENTON (BILLING MANAGER)
(843) 607-3773
Entity
Organization

Contact information

Practice address
2102 OTRANTO BLVD STE A, NORTH CHARLESTON, SC 29406-9841
(843) 569-2225
(843) 863-1830
Mailing address
2102 OTRANTO BLVD STE A, NORTH CHARLESTON, SC 29406-9841
(843) 569-2225
(843) 863-1830

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
9-14-119373
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP6680
SC
Enumeration date
04/02/2015
Last updated
04/02/2015
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