Organization
COLUMBIA MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP NICOLAS D.C. (CHIROPRACTOR/OWNER)
(410) 992-7730
Entity
Organization
Contact information
Practice address
10630 LITTLE PATUXENT PKWY, STE. 116, COLUMBIA, MD 21044-6208
(410) 992-7730
(410) 992-7731
Mailing address
10630 LITTLE PATUXENT PKWY, STE. 116, COLUMBIA, MD 21044-6208
(410) 992-7730
(410) 992-7731
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
03382
MD
Other
Enumeration date
08/26/2009
Last updated
10/25/2010
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