Organization
AMERICAN HOMEPATIENT OF KINGSTREE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG MCCARTHY (COO)
(727) 530-7700
Entity
Organization
Contact information
Practice address
331 W MILL ST, KINGSTREE, SC 29556-3236
(843) 354-7090
(843) 354-9050
Mailing address
PO BOX 530640, ATLANTA, GA 30353-0640
(843) 821-8525
(843) 821-0982
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
05/06/2010
Last updated
04/07/2016
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