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Organization

BAMBERG MEDICAL EQUIPMENT & SUPPLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL L WILLIAMS (OWNER)
(803) 245-1708
Entity
Organization

Contact information

Practice address
3109 MAIN HWY, BAMBERG, SC 29003-1614
(803) 245-1708
(803) 245-7306
Mailing address
510 RUTLEDGE ST, CAMDEN, SC 29020-4312
(803) 425-7352
(803) 713-1414

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
65006621
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DE2143
SC
Enumeration date
08/24/2005
Last updated
06/29/2011
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