Organization
PALMETTO OXYGEN, LLC
Active
Other names
MedBridge Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW S. MELLOTT (CFO)
(864) 527-5970
Entity
Organization
Contact information
Practice address
409 BRIARWOOD DR, SUITE 305B, JACKSON, MS 39206-3033
(601) 957-9272
(601) 957-9545
Mailing address
110 W NORTH ST, SUITE 100, GREENVILLE, SC 29601-2779
(864) 527-5970
(864) 527-5971
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
06960/11.1
MS
Other
Enumeration date
06/18/2006
Last updated
08/22/2020
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