Organization
CAROLINA RESOURCES
Active
Other names
Learning Resources
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE MELVIN ELLISON (OWNER)
(803) 276-3200
Entity
Organization
Contact information
Practice address
1345 WILSON RD, NEWBERRY, SC 29108-3061
(803) 276-3200
(803) 276-3220
Mailing address
PO BOX 609, NEWBERRY, SC 29108-0609
(803) 276-3200
(803) 276-3220
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME988
—
SC
Enumeration date
10/19/2006
Last updated
06/25/2008
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