Organization
SOUTHEASTERN MEDICAL BROKERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC SMITH (PRESIDENT)
(706) 855-8988
Entity
Organization
Contact information
Practice address
2101 MAIN ST, COLUMBIA, SC 29201-2159
(803) 799-1133
(803) 252-0814
Mailing address
1001 WALTON WAY, AUGUSTA, GA 30901-2841
(706) 855-8988
(706) 855-8902
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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