Provider Demographics
NPI:1326394578
Name:MARK COWARD & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:MARK COWARD & ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:COWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-736-5252
Mailing Address - Street 1:9367 TWO NOTCH RD
Mailing Address - Street 2:SUITE F2-B
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-6442
Mailing Address - Country:US
Mailing Address - Phone:803-736-5252
Mailing Address - Fax:803-736-5042
Practice Address - Street 1:9367 TWO NOTCH RD
Practice Address - Street 2:SUITE F2-B
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-6442
Practice Address - Country:US
Practice Address - Phone:803-736-5252
Practice Address - Fax:803-736-5042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-25
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies