Organization
PROSPERITY MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN ANN KENNEDY (PRESIDENT/CEO)
(803) 736-5872
Entity
Organization
Contact information
Practice address
3031 SCOTSMAN RD STE 13, COLUMBIA, SC 29223-1812
(803) 736-5872
Mailing address
3031 SCOTSMAN RD STE 13, COLUMBIA, SC 29223-1812
(803) 736-5872
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20103991339055
SC
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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