Healthcare Provider Details

I. General information

NPI: 1780959825
Provider Name (Legal Business Name): MQP ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2012
Last Update Date: 03/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 W. BUFORD ST.
GAFFNEY SC
29340
US

IV. Provider business mailing address

115 W. BUFORD ST.
GAFFNEY SC
29340
US

V. Phone/Fax

Practice location:
  • Phone: 864-488-2735
  • Fax: 864-488-0316
Mailing address:
  • Phone: 864-488-2735
  • Fax: 864-488-0316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number StateSC

VIII. Authorized Official

Name: MR. MARION QUINN PATTON
Title or Position: PRESIDENT
Credential: RPH
Phone: 864-488-2735