Organization
PALMETTO HOME MEDICAL PRODUCTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID STOKES BROOKS IV (PRESIDENT)
(843) 464-0061
Entity
Organization
Contact information
Practice address
212 S MAIN ST, MULLINS, SC 29574-3120
(843) 464-0061
(843) 464-0056
Mailing address
212 S MAIN ST, MULLINS, SC 29574-3120
(843) 464-0061
(843) 464-0056
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
4629
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE1420
—
SC
Enumeration date
04/10/2007
Last updated
06/13/2012
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