MEDICARE: PEOPLES MEDICAL SUPPLY 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		SC

General Provider Information

NPI Number	:	1588770267
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEOPLES MEDICAL SUPPLY INC

Provider Business Mailing Address
First Line	:	1974 CAROLINA PLACE DR STE 136B
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-6924
Country	:	US
Telephone Number	:	803-547-4588
Fax Number	:	803-547-8570

Provider Business Practice Location Address
First Line	:	1974 CAROLINA PLACE DR STE 136B
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-6924
Country	:	US
Telephone Number	:	803-547-4588
Fax Number	:	803-547-8570

Authorized Official
Title or Position	:	C EO
Name	:	MR. PRINCE OBIORA CHIME
Credential	:
Telephone Number	:	803-547-4588

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

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