Organization
SOUTHEASTERN MEDICAL SUPPLY INC
Active
Other names
SE Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARY E NODELMAN (SECRETARY/INSURANCE COORDINATOR)
(803) 233-3691
Entity
Organization
Contact information
Practice address
1024 WILDWOOD CENTRE DR, SUITE A, COLUMBIA, SC 29229-8400
(803) 233-3691
(803) 233-6140
Mailing address
1024 WILDWOOD CENTRE DR, SUITE A, COLUMBIA, SC 29229-8400
(803) 233-3691
(803) 233-6140
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1386679009
SC
Other
Enumeration date
07/11/2006
Last updated
11/20/2008
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