Organization
MAJOR MEDICAL SUPPLY AND HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AUDREY BUCKMON (CEO)
(803) 988-7360
Entity
Organization
Contact information
Practice address
107 CHARLESTON ROW BLVD, AIKEN, SC 29803-6590
(803) 998-7360
Mailing address
640 OLD AIRPORT RD STE 104, AIKEN, SC 29801-5034
(803) 998-7360
(803) 226-0482
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008505486
DRIVER'S LICENSE
SC
Enumeration date
02/01/2021
Last updated
06/21/2021
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