Organization
SOUTHEASTERN HEALTH PLUS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN J MORAN (CHIEF FINANCIAL OFFI)
(843) 939-1374
Entity
Organization
Contact information
Practice address
1301 48TH AVE N STE C, MYRTLE BEACH, SC 29577-5427
(843) 839-1374
(877) 408-8192
Mailing address
1301 48TH AVE N STE C, MYRTLE BEACH, SC 29577-5427
(843) 839-1374
(877) 408-8192
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME925
—
SC
Enumeration date
07/09/2005
Last updated
06/09/2014
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