Organization
PRAIRIECORE DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACKIE GUNTER ETC (PRESIDENT)
(239) 272-1666
Entity
Organization
Contact information
Practice address
407 CHERRY HILL RD, ORANGEBURG, SC 29115-9056
(239) 272-1666
Mailing address
407 CHERRY HILL RD, ORANGEBURG, SC 29115-9056
(239) 272-1666
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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