Organization
CARDIOSOM, LLC
Active
Other names
CardioSom of Georgetown
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY JARRELL (PRESIDENT/COO)
(317) 706-1080
Entity
Organization
Contact information
Practice address
212 N. FRASER ST.,, UNIT 1, GEORGETOWN, SC 29440-3256
(843) 527-3600
(843) 527-3636
Mailing address
615 W. CARMEL DR.,, SUITE 100, CARMEL, IN 46032-5504
(317) 706-1080
(317) 574-8674
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
06/07/2007
Last updated
08/10/2010
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