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Organization

SPECIALIZED MOBILITY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARTIN PHILLIP O'CONNOR (PRESIDENT)
(803) 749-3613
Entity
Organization

Contact information

Practice address
2361 DUTCH FORK RD, CHAPIN, SC 29036-8569
(803) 749-3613
(803) 749-0263
Mailing address
PO BOX 545, BALLENTINE, SC 29002-0545
(803) 749-3613
(803) 749-0263

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DME981
SC
Enumeration date
08/23/2006
Last updated
08/22/2020
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