Organization
PERFORMANCE MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN M HESTER (OWNER)
(803) 791-5904
Entity
Organization
Contact information
Practice address
4206 AUGUSTA RD, LEXINGTON, SC 29073-9143
(803) 791-5904
(803) 791-5047
Mailing address
4206 AUGUSTA RD, LEXINGTON, SC 29073-9143
(803) 791-5904
(803) 791-5047
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
SC
Other
Enumeration date
06/21/2007
Last updated
05/07/2008
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