Healthcare Provider Details

I. General information

NPI: 1831718493
Provider Name (Legal Business Name): CB MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2020
Last Update Date: 03/09/2025
Certification Date: 03/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

856 LOWCOUNTRY BLVD STE 101
MOUNT PLEASANT SC
29464-3181
US

IV. Provider business mailing address

295 SEVEN FARMS DR STE C117
DANIEL ISLAND SC
29492-8001
US

V. Phone/Fax

Practice location:
  • Phone: 843-814-5472
  • Fax:
Mailing address:
  • Phone: 843-814-5472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: SHAWN PINKSTON
Title or Position: OWNER
Credential:
Phone: 843-814-5472