Organization
ADVANTAGE HOME MEDICAL COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM DEAN BISHOP (OWNER/PRESIDENT)
(864) 627-9669
Entity
Organization
Contact information
Practice address
7002 PELHAM RD, GREENVILLE, SC 29615-5729
(864) 627-9669
(864) 627-9670
Mailing address
7002 PELHAM RD, GREENVILLE, SC 29615-5729
(864) 627-9669
(864) 627-9670
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
65008374
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1024492
ACM PROVIDER NUMBER
SC
05
—
DE2674
—
SC
Enumeration date
04/04/2006
Last updated
04/27/2009
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