| NPI | 1104807783 |
|---|---|
| Doing Business As | SOUTHEASTERN DIABETIC SUPPLY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL C STRANGE Owner 803-419-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2009-12-23 |