Healthcare Provider Details

I. General information

NPI: 1528038437
Provider Name (Legal Business Name): LOW COUNTRY MEDICAL EQUIPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 12/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 A HWY 17 S
SURFSIDE BEACH SC
29575
US

IV. Provider business mailing address

PO BOX 1088
MURRELLS INLET SC
29576-1088
US

V. Phone/Fax

Practice location:
  • Phone: 843-238-2388
  • Fax: 843-238-8655
Mailing address:
  • Phone: 843-238-2388
  • Fax: 843-238-8655

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. RODERICK D URQUHART
Title or Position: CEO
Credential:
Phone: 843-238-2388