Organization
PEE DEE HOME MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL ALTMAN (OWNER)
(843) 841-9003
Entity
Organization
Contact information
Practice address
801A HIGHWAY 301 N UNIT A, DILLON, SC 29536-2450
(843) 841-9003
(843) 841-9736
Mailing address
801 HIGHWAY 301 N UNIT A, DILLON, SC 29536-2467
(843) 841-9003
(843) 841-9736
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20003624
SELECT HEALTH MEDICAID
SC
05
—
7703296
—
NC
05
—
DE1854
—
SC
Enumeration date
04/21/2006
Last updated
06/22/2015
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