Organization
CFP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETHEL LEE PASLEY (OWNER)
(864) 220-2883
Entity
Organization
Contact information
Practice address
103 PANORAMA CT, GREENVILLE, SC 29611-7621
(864) 220-2883
(864) 220-2893
Mailing address
103 PANORAMA CT, GREENVILLE, SC 29611-7621
(864) 220-2883
(864) 220-2893
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
023016326
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2878
—
SC
05
—
EN2038
—
SC
Enumeration date
06/26/2008
Last updated
07/15/2008
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