Organization
VALUE MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS BRADY STOUGHTON JURIS DOCTOR (PRINCIPAL)
(404) 475-1202
Entity
Organization
Contact information
Practice address
107 KIOWA LN, PIEDMONT, SC 29673-6751
(800) 861-4965
(888) 448-1725
Mailing address
107 KIOWA LN, PIEDMONT, SC 29673-6751
(800) 861-4965
(888) 448-1725
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000Z4355
—
NM
05
—
406066100
—
MD
05
—
7169610
—
PA
05
—
812677065A
—
GA
05
—
90062605
—
KY
05
—
DM0832
—
SC
Enumeration date
01/26/2007
Last updated
08/17/2018
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