| NPI | 1386679009 |
|---|---|
| Other Name | SE MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | MARY E NODELMAN Secretary/Insurance Coordinator 803-233-3691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 1386679009) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-11-20 |