Organization
MEDSOURCE MEDICAL DME LLC
Active
Other names
Medsource Medical DME LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELINDA CAMPBELL DINGLE (PRESIDENT)
(843) 906-5020
Entity
Organization
Contact information
Practice address
320 MIDLAND PKWY, STE B, SUMMERVILLE, SC 29485-7197
(843) 906-5020
(843) 970-8055
Mailing address
2831 TRICOM ST STE A, NORTH CHARLESTON, SC 29406
(843) 906-5020
(843) 297-4154
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2428
—
SC
Enumeration date
04/18/2008
Last updated
08/12/2021
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