Organization
ADVANTAGE HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WINFORD THOMPSON (OWNER)
(803) 533-0214
Entity
Organization
Contact information
Practice address
242 WHITTAKER PKWY, ORANGEBURG, SC 29115-5664
(803) 533-0214
Mailing address
2345 TWO NOTCH RD, COLUMBIA, SC 29204-2224
(803) 758-2512
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
03822144186141
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2859
—
SC
Enumeration date
03/12/2007
Last updated
08/22/2020
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