Organization
PRISCILLA L. WELCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK MATTHEWS (VP OF BUSINESS OPERATIONS)
(803) 254-3676
Entity
Organization
Contact information
Practice address
211 S. JONES STREET, SUITE B, OLANTA, SC 29114-9493
(866) 359-1587
Mailing address
211 S. JONES STREET, SUITE B, OLANTA, SC 29114-9493
(866) 359-1587
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/17/2008
Last updated
07/21/2009
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