Organization
CAROLYN A MITCHELL
Active
Other names
Express Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN A MITCHELL (OWNER OPERATOR)
(843) 662-2902
Entity
Organization
Contact information
Practice address
239B N MCQUEEN STREET, FLORENCE, SC 29501
(843) 662-2902
(843) 662-6964
Mailing address
239B N MCQUEEN ST, FLORENCE, SC 29501-2501
(843) 662-2902
(843) 662-6964
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2548
—
SC
Enumeration date
07/17/2006
Last updated
07/08/2008
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