Organization
COOPER CHASE DME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAK JONES (GENERAL MGR)
(803) 233-0075
Entity
Organization
Contact information
Practice address
205 SAINT JAMES AVE, STE 2-186, GOOSE CREEK, SC 29445-2997
(803) 433-1187
Mailing address
205 SAINT JAMES AVE, STE 2-186, GOOSE CREEK, SC 29445-2997
(803) 433-1187
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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