Organization
SOUTHEASTERN MEDICAL SUPPLY CO
Active
Other names
SOUTHEASTERN DIABETIC SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C STRANGE RFO (OWNER)
(803) 419-6766
Entity
Organization
Contact information
Practice address
7221 BROOKFIELD RD, COLUMBIA, SC 29223-2215
(803) 419-6766
(803) 419-6645
Mailing address
7221 BROOKFIELD RD, COLUMBIA, SC 29223-2215
(803) 419-6766
(803) 419-6645
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE1551
—
SC
Enumeration date
11/09/2005
Last updated
12/23/2009
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