MEDICARE: MARK COWARD & ASSOCIATES, LLC

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

General Provider Information

NPI Number	:	1326394578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARK COWARD & ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	9367 TWO NOTCH RD
Second Line	:	SUITE F2-B
City	:	COLUMBIA
State	:	SC
Zip	:	29223-6442
Country	:	US
Telephone Number	:	803-736-5252
Fax Number	:	803-736-5042

Provider Business Practice Location Address
First Line	:	9367 TWO NOTCH RD
Second Line	:	SUITE F2-B
City	:	COLUMBIA
State	:	SC
Zip	:	29223-6442
Country	:	US
Telephone Number	:	803-736-5252
Fax Number	:	803-736-5042

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MARK COWARD
Credential	:
Telephone Number	:	803-736-5252

Provider Enumeration Date	:	07/25/2012
Last Update Date	:	10/29/2012

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