Organization
TAC MED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS ALEXANDER COVINGTON III (OWNER/OPERATOR)
(843) 696-9845
Entity
Organization
Contact information
Practice address
1473 ASHLEY GARDEN BLVD, CHARLESTON, SC 29414-9126
(843) 696-9845
Mailing address
1473 ASHLEY GARDEN BLVD, CHARLESTON, SC 29414-9126
(843) 696-9845
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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