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Organization

GABLE RUNN DME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RODERIC MARTIN (VICE PRESIDENT)
(209) 436-9590
Entity
Organization

Contact information

Practice address
186 SEVEN FARMS DR, F110, DANIEL ISLAND, SC 29492-8510
(209) 436-9590
Mailing address
186 SEVEN FARMS DR, F110, DANIEL ISLAND, SC 29492-8510
(209) 436-9590

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
07/30/2015
Last updated
07/30/2015
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