NPI 1063751246

Mobility Supercenter of Charleston

Organisation Customized Equipment (DME) Charleston, SC

Practice location

Address: 932 Savannah Hwy, Charleston, SC 29407-7802
Phone: (843) 225-6760
Fax: (843) 225-2398

Authorised official

Name: Robin Hernandez
Title: General Manager
Phone: (843) 225-6760

Registered specialties

Customized Equipment (DME) Primary

Suppliers Taxonomy 332BC3200X Licence LIC-11-12-84965 (SC)

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Registry record

NPI: 1063751246
Entity type: Organization
NPI issued: 7 Feb 2013
Record last updated: 7 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.