Provider Demographics
NPI:1366646861
Name:MEDICAL SUPPLIES & EQUIPMENT USA, LLC
Entity Type:Organization
Organization Name:MEDICAL SUPPLIES & EQUIPMENT USA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:WINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-825-4300
Mailing Address - Street 1:1484 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BONNEAU
Mailing Address - State:SC
Mailing Address - Zip Code:29431-5011
Mailing Address - Country:US
Mailing Address - Phone:843-825-4300
Mailing Address - Fax:843-825-4321
Practice Address - Street 1:1484 MAIN ST
Practice Address - Street 2:
Practice Address - City:BONNEAU
Practice Address - State:SC
Practice Address - Zip Code:29431-5011
Practice Address - Country:US
Practice Address - Phone:843-825-4300
Practice Address - Fax:843-825-4321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies