Organization
PHYSICAL MEDICINE DEVICES LLC
Active
Organization
PHYSICAL MEDICINE DEVICES LLC
Active
Other names
Jeffery A Sheahan dba Physical Medicine Devices
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS J SHEAHAN (CEO)
(866) 860-6650
Entity
Organization
Contact information
Practice address
203 AMICKS FERRY RD, STE 700, CHAPIN, SC 29036-8696
(866) 860-6650
(800) 995-2763
Mailing address
1356 COUNTRY SQUIRE DR, COLUMBIA, SC 29212-2202
(866) 860-6650
(800) 995-2763
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
040678855
SC
335E00000X
Prosthetic/Orthotic Supplier
Primary
040678855
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2009
—
SC
Enumeration date
10/06/2006
Last updated
06/17/2008
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