Provider Demographics
NPI:1366842130
Name:FIRST CHOICE MEDICAL, INC
Entity Type:Organization
Organization Name:FIRST CHOICE MEDICAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:G
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-562-4643
Mailing Address - Street 1:5012 OXFORDSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-7324
Mailing Address - Country:US
Mailing Address - Phone:704-562-4643
Mailing Address - Fax:888-946-0055
Practice Address - Street 1:164 GADSDEN ST
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:SC
Practice Address - Zip Code:29706-2066
Practice Address - Country:US
Practice Address - Phone:803-385-9165
Practice Address - Fax:888-946-0055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-29
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies