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Organization

RELIANT MEDICAL PRODUCTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROY LEWIS MCDONALD (OWNER)
(803) 794-4460
Entity
Organization

Contact information

Practice address
125 WADE ST, SUITE B, WEST COLUMBIA, SC 29169-4635
(803) 794-4460
(803) 794-4669
Mailing address
125 WADE ST, SUITE B, WEST COLUMBIA, SC 29169-4635
(803) 794-4460
(803) 794-4669

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
332BX2000X
Oxygen Equipment & Supplies (DME)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DE1969
SC
Enumeration date
05/04/2006
Last updated
09/01/2009
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