Organization
UPSTATE CAROLINA MOBILITY
Active
Other names
101 Mobility
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANICE GORDON (FRANCHISE OWNER)
(864) 269-6985
Entity
Organization
Contact information
Practice address
105 LA VON LN, SUITE C, EASLEY, SC 29642-2627
(864) 269-6985
(864) 751-1619
Mailing address
105 LA VON LN, SUITE C, EASLEY, SC 29642-2627
(864) 269-6985
(864) 751-1619
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
039183613
SC
332B00000X
Durable Medical Equipment & Medical Supplies
175832350
GA
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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