Organization
MEDICOR HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK MARQUEZ (MANAGER)
(803) 403-9018
Entity
Organization
Contact information
Practice address
3037 MCNAUGHTON DR STE A, COLUMBIA, SC 29223-1851
(803) 403-9018
Mailing address
P.O. BOX 27783, FREEHOLD, NJ 07101-7783
(732) 462-7615
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
0688174
NJ
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
02/05/2007
Last updated
08/27/2020
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