Organization
INFINITY DIABETIC & MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FANNIE M GEDDIS (CEO)
(803) 772-2555
Entity
Organization
Contact information
Practice address
1900 BROAD RIVER RD, SUITE 17, COLUMBIA, SC 29210-7047
(803) 772-2555
(803) 772-2878
Mailing address
PO BOX 3321, COLUMBIA, SC 29230-3321
(803) 772-2555
(803) 772-2878
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2462
—
SC
Enumeration date
12/12/2007
Last updated
12/12/2007
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