Healthcare Provider Details

I. General information

NPI: 1407093974
Provider Name (Legal Business Name): PIGGLY WIGGLY FOLLY RD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2009
Last Update Date: 09/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1985 FOLLY RD
CHARLESTON SC
29412-9577
US

IV. Provider business mailing address

4401 PIGGLY WIGGLY DR. PO BOX 118047
CHARLESTON SC
29423
US

V. Phone/Fax

Practice location:
  • Phone: 843-762-6591
  • Fax: 843-762-9377
Mailing address:
  • Phone: 843-554-9980
  • Fax: 843-202-8211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID SCHOOLS
Title or Position: PRESIDENT
Credential:
Phone: 843-554-9880