Organization
PREMIER ADVANCE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY LEON WALKER (OWNER)
(888) 387-1116
Entity
Organization
Contact information
Practice address
445 BURNS DR, SWANSEA, SC 29160-8894
(888) 387-1116
Mailing address
445 BURNS DR, SWANSEA, SC 29160-8894
(888) 387-1116
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B000000X
SC
Other
Enumeration date
09/06/2010
Last updated
09/07/2010
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