Mountain Medical Supply, LLC
NPI #1306362769 in Aiken, South Carolina
Provider Information
- NPI Number
- 1306362769
- Entity Type
- Organization
- Organization Name
- Mountain Medical Supply, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Aug 17, 2017
- Last Updated
- Sep 8, 2022
Practice Location
- Address
- 6170 WOODSIDE EXECUTIVE CT
- City
- Aiken
- State
- South Carolina
- ZIP Code
- 29803-3820
- Phone
- (435) 327-0227
Authorized Official
- Name
- WAYNE REAVES
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (435) 327-0227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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