Organization
WINYAH HOME MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA L WHITLOCK (DIRECTOR)
(843) 520-0300
Entity
Organization
Contact information
Practice address
1101 CHURCH ST, GEORGETOWN, SC 29440-3201
(843) 520-0300
(843) 520-0301
Mailing address
1101 CHURCH ST, GEORGETOWN, SC 29440-3201
(843) 520-0300
(843) 520-0301
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
022150084
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2368
—
SC
Enumeration date
08/10/2005
Last updated
05/09/2013
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