Organization
SOUTHERN WAY MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIUSEPPA BOSZKO (OWNER)
(954) 621-5945
Entity
Organization
Contact information
Practice address
145 THOMAS GREEN BLVD STE 100, CLEMSON, SC 29631-2172
(864) 654-0280
Mailing address
145 THOMAS GREEN BLVD STE 100, CLEMSON, SC 29631-2172
(864) 654-0280
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
07/14/2020
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