Organization
LOW COUNTRY HOME OXYGEN & MEDICAL EQUIPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN FERGUSON SCHRADER (PRESIDENT)
(843) 706-3424
Entity
Organization
Contact information
Practice address
23 MAIN ST, SUITE 202, HILTON HEAD ISLAND, SC 29926-6606
(843) 706-3424
(843) 706-9475
Mailing address
262 RED CEDAR ST, SUITE 1, BLUFFTON, SC 29910-8943
(843) 706-3424
(843) 706-9475
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
65007165
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE1004
—
SC
Enumeration date
01/17/2007
Last updated
04/27/2012
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