Individual
TERESA MARIA PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3303 N SALLY HILL RD, TIMMONSVILLE, SC 29161-8868
(843) 395-0660
(843) 398-9977
Mailing address
3303 N SALLY HILL RD, TIMMONSVILLE, SC 29161-8868
(843) 395-0660
(843) 398-9977
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
101151138
SC
332BC3200X
Customized Equipment (DME)
101151138
SC
332BD1200X
Dialysis Equipment & Supplies (DME)
101151138
SC
332BN1400X
Nursing Facility Supplies (DME)
101151138
SC
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
101151138
SC
332BX2000X
Oxygen Equipment & Supplies (DME)
101151138
SC
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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