Provider Demographics
NPI:1477121838
Name:S & S MEDICAL SUPPLIES LLC
Entity Type:Organization
Organization Name:S & S MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SPRINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-331-3391
Mailing Address - Street 1:6236 SAINT ANDREWS RD STE 2A
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29212-3148
Mailing Address - Country:US
Mailing Address - Phone:803-760-6200
Mailing Address - Fax:
Practice Address - Street 1:6236 SAINT ANDREWS RD STE 2A
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29212-3148
Practice Address - Country:US
Practice Address - Phone:803-760-6200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-14
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies