Organization
VITAL SOURCE USA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN D. STRATTON (PRESIDENT)
(843) 606-4500
Entity
Organization
Contact information
Practice address
210 SEVEN FARMS DR, STE 201, DANIEL ISLAND, SC 29492-7561
(843) 606-4500
(843) 606-4490
Mailing address
210 SEVEN FARMS DR, STE 201, DANIEL ISLAND, SC 29492-7561
(843) 606-4500
(843) 606-4490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/13/2009
Last updated
05/18/2011
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