Organization
BRENTON MANAGEMENT GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENTON BLAKE BYRD (OWNER)
(910) 641-0600
Entity
Organization
Contact information
Practice address
203 CHAUNCEY TOWN ROAD, LAKE WACCAMAW, NC 28450-2003
(910) 641-0600
(910) 641-0606
Mailing address
PO BOX 425, WHITEVILLE, NC 28472-0425
(910) 641-0600
(910) 641-0606
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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