Organization
HAWTHORNE MEDICAL EQUIPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY ANN CANNAN (DIRECTOR)
(803) 227-4468
Entity
Organization
Contact information
Practice address
1520 TAYLOR ST # A, COLUMBIA, SC 29201-2901
(803) 227-4468
(803) 227-4468
Mailing address
1520 TAYLOR ST # A, COLUMBIA, SC 29201-2901
(803) 227-4468
(803) 227-4468
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
556026
—
SC
Enumeration date
01/23/2006
Last updated
04/26/2013
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