360 Durable Medical Supplies & Equipment
NPI #1457950875 in Fountain Inn, South Carolina
Provider Information
- NPI Number
- 1457950875
- Entity Type
- Organization
- Organization Name
- 360 Durable Medical Supplies & Equipment
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 19, 2020
- Last Updated
- Oct 19, 2020
Practice Location
- Address
- 1314 N MAIN ST STE D
- City
- Fountain Inn
- State
- South Carolina
- ZIP Code
- 29644-1332
- Phone
- (864) 625-3252
Authorized Official
- Name
- MICHAEL ANTHONY WALLACE
- Title
- CEO
- Phone
- (864) 625-3252
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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