Healthcare Provider Details

I. General information

NPI: 1881035418
Provider Name (Legal Business Name): SYNERGY MEDICAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2013
Last Update Date: 08/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

831 1ST ST N
ALABASTER AL
35007-8944
US

IV. Provider business mailing address

110 N RANDOLPH AVE
LANDRUM SC
29356-1512
US

V. Phone/Fax

Practice location:
  • Phone: 205-358-9120
  • Fax: 864-457-2269
Mailing address:
  • Phone: 864-457-2222
  • Fax: 864-457-2269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number13549
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: ARTHUR W ROBBINS
Title or Position: OWNER
Credential:
Phone: 864-457-2222