Organization
STAR MEDICAL INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORINDA Q MCCLELLAN (CO-OWNER)
(803) 980-4343
Entity
Organization
Contact information
Practice address
1023 CHARLOTTE AVE, ROCK HILL, SC 29732-3016
(803) 980-4343
(803) 980-1726
Mailing address
1023 CHARLOTTE AVE, ROCK HILL, SC 29732-3016
(803) 980-4343
(803) 980-1726
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2803
—
SC
Enumeration date
06/22/2007
Last updated
08/22/2020
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