Organization
LYDES MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMEL D LYDE (CEO)
(843) 413-2744
Entity
Organization
Contact information
Practice address
1951 PISGAH RD STE 139, FLORENCE, SC 29501-6705
(843) 413-2744
(843) 936-8303
Mailing address
1951 PISGAH RD STE 139, FLORENCE, SC 29501-6705
(843) 413-2744
(843) 936-8303
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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