Organization
TWO RIVERS MEDICAL LLC
Active
Other names
TWO RIVERS MEDICAL LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY WICKER (DIRECTOR)
(864) 300-3856
Entity
Organization
Contact information
Practice address
518 US HIGHWAY 76, CHAPIN, SC 29036-9076
(864) 300-3856
(864) 916-1590
Mailing address
396 WOFFORD RD, GAFFNEY, SC 29340-5749
(864) 300-3856
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
11/24/2023
Last updated
11/24/2023
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