Healthcare Provider Details

I. General information

NPI: 1770573263
Provider Name (Legal Business Name): RELIABLE MEDICAL EQUIPMENT OF SOUTH CAROLINA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2005
Last Update Date: 08/18/2022
Certification Date: 08/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2580 LIN DO CT STE B
SUMTER SC
29150-1832
US

IV. Provider business mailing address

2580 LIN DO CT STE B
SUMTER SC
29150-1832
US

V. Phone/Fax

Practice location:
  • Phone: 803-934-9212
  • Fax: 803-934-0750
Mailing address:
  • Phone: 803-934-9212
  • Fax: 803-934-0750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number65006651
License Number StateSC

VIII. Authorized Official

Name: MR. JEFFREY JOE REED
Title or Position: OWNER
Credential:
Phone: 803-934-9212