Organization
ABC MEDICAL OF CHARLESTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD GREEN (OWNER)
(843) 532-3740
Entity
Organization
Contact information
Practice address
105 HUGHES ST, SUMMERVILLE, SC 29483-4228
(843) 532-3740
Mailing address
105 HUGHES ST, SUMMERVILLE, SC 29483-4228
(843) 532-3740
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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