MEDICARE: DIRECT HEALTH INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1013926104
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIRECT HEALTH INC

Provider Business Mailing Address
First Line	:	3951 W MONTAGUE AVE STE D
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29418-5657
Country	:	US
Telephone Number	:	843-834-2180
Fax Number	:	843-572-0855

Provider Business Practice Location Address
First Line	:	3951 W MONTAGUE AVE STE D
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29418-5657
Country	:	US
Telephone Number	:	843-834-2180
Fax Number	:	843-572-0855

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LLOYD EARL HEPBURN JR.
Credential	:	MD
Telephone Number	:	843-834-2180

Provider Enumeration Date	:	08/06/2006
Last Update Date	:	08/22/2020

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