MEDICARE: RELIANT MEDICAL PRODUCTS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
2	332BX2000X	Oxygen Equipment & Supplies (DME)
3	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447208301
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELIANT MEDICAL PRODUCTS

Provider Business Mailing Address
First Line	:	125 WADE ST
Second Line	:	SUITE B
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29169-4635
Country	:	US
Telephone Number	:	803-794-4460
Fax Number	:	803-794-4669

Provider Business Practice Location Address
First Line	:	125 WADE ST
Second Line	:	SUITE B
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29169-4635
Country	:	US
Telephone Number	:	803-794-4460
Fax Number	:	803-794-4669

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ROY LEWIS MCDONALD
Credential	:
Telephone Number	:	803-794-4460

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	09/01/2009

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Directions to “RELIANT MEDICAL PRODUCTS ” Practice Location

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