MEDICARE: COMPREHENSIVE MEDICAL SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184602146
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE MEDICAL SERVICES INC

Provider Business Mailing Address
First Line	:	1334 ROMA RD
Second Line	:
City	:	HANAHAN
State	:	SC
Zip	:	29410-8522
Country	:	US
Telephone Number	:	843-724-9867
Fax Number	:	843-724-9869

Provider Business Practice Location Address
First Line	:	1334 ROMA RD
Second Line	:
City	:	HANAHAN
State	:	SC
Zip	:	29410-8522
Country	:	US
Telephone Number	:	843-724-9867
Fax Number	:	843-724-9869

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DAVID P WIESNER
Credential	:
Telephone Number	:	843-724-9867

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	10/05/2009

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Directions to “COMPREHENSIVE MEDICAL SERVICES INC ” Practice Location

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