Organization
TYSON MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COREY WEAVER (PRESIDENT)
(864) 284-9200
Entity
Organization
Contact information
Practice address
124 OLD MILL RD, SUITE E, GREENVILLE, SC 29607-5362
(864) 284-9200
(864) 284-9209
Mailing address
124 OLD MILL RD, SUITE E, GREENVILLE, SC 29607-5362
(864) 284-9200
(864) 284-9209
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2675
—
SC
Enumeration date
08/09/2007
Last updated
08/09/2007
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