Organization
PRIORITY HOME MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM M JOHNSON JR. (OWNER)
(803) 534-1234
Entity
Organization
Contact information
Practice address
1464 CAROLINA AVENUE, ORANGEBURG, SC 29115-1464
(803) 534-1234
Mailing address
1464 CAROLINA AVENUE, ORANGEBURG, SC 29115-1464
(803) 534-1234
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/12/2008
Last updated
06/25/2009
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