Organization
TRINITY MEDICAL SUPPLY OF AIKEN,SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY LARRAINE TUCKER (PRESIDENT)
(803) 739-8987
Entity
Organization
Contact information
Practice address
2316 SUNSET BLVD STE D, WEST COLUMBIA, SC 29169-4772
(803) 739-8987
(803) 739-8987
Mailing address
4360 AUGUSTA RD # S-H189, LEXINGTON, SC 29073-7491
(803) 739-8987
(803) 739-8907
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3897260001
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE1822
—
SC
Enumeration date
05/03/2007
Last updated
08/22/2020
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