Prestige Diabetic Supplies
NPI #1285863324 in Lake Wylie, South Carolina
Provider Information
- NPI Number
- 1285863324
- Entity Type
- Organization
- Organization Name
- Prestige Diabetic Supplies
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jul 10, 2009
- Last Updated
- Jul 10, 2009
Practice Location
- Address
- 6 EXECUTIVE CT
- City
- Lake Wylie
- State
- South Carolina
- ZIP Code
- 29710-9338
- Phone
- (803) 831-6778
Authorized Official
- Name
- MR. EDWARD PERRY JACKSON
- Title
- PARTNER
- Phone
- (803) 831-6778
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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