Organization
MOBILE MED INC
Active
Other names
Lowcountry Home Respirtory
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG TRENOR (PRESIDENT)
(864) 569-0418
Entity
Organization
Contact information
Practice address
200 WEST 5TH STREET NORTH, SUMMERVILLE, SC 29483
(843) 285-7903
Mailing address
1247 SOUTH PLEASANTBURG DRIVE, GREENVILLE, SC 29605
(864) 569-0418
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE1120
—
SC
Enumeration date
07/13/2006
Last updated
03/19/2013
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