Organization
CAROLINA MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN FELLENZ (MEMBER OF LLC)
(843) 455-6325
Entity
Organization
Contact information
Practice address
2126 HIGHWAY 9 E STE G6, LONGS, SC 29568-5734
(843) 458-9300
Mailing address
PO BOX 3026, NORTH MYRTLE BEACH, SC 29582-0026
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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