Organization
VALUE MEDICAL SOUTHEAST, LLC
Active
Other names
Value Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS BRADY STOUGHTON JD (JURIS DOCTOR) (PRINCIPAL)
(404) 475-1202
Entity
Organization
Contact information
Practice address
105 KIOWA LN, PIEDMONT, SC 29673-6751
(404) 475-1202
(404) 475-1217
Mailing address
105 KIOWA LN, PIEDMONT, SC 29673-6751
(404) 475-1202
(404) 475-1217
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7704053
—
NC
Enumeration date
07/27/2006
Last updated
04/20/2008
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