MEDICARE: DEAN B YOUMANS

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	3472	SC

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	:	1659313914
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEAN B YOUMANS

Provider Business Mailing Address
First Line	:	923 W MAIN ST
Second Line	:
City	:	LAURENS
State	:	SC
Zip	:	29360-2605
Country	:	US
Telephone Number	:	864-984-1544
Fax Number	:	864-984-6023

Provider Business Practice Location Address
First Line	:	923 W MAIN ST
Second Line	:
City	:	LAURENS
State	:	SC
Zip	:	29360-2605
Country	:	US
Telephone Number	:	864-984-1544
Fax Number	:	864-984-6023

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DEAN BRYANT YOUMANS
Credential	:	RPH
Telephone Number	:	864-984-1544

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	02/04/2011

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Directions to “DEAN B YOUMANS ” Practice Location

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