Provider Demographics
NPI:1649573874
Name:BATTERIES PLUS OF SUMTER, LLC
Entity Type:Organization
Organization Name:BATTERIES PLUS OF SUMTER, LLC
Other - Org Name:BATTERIES PLUS 235
Other - Org Type:Other Name
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:WAZNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-934-8605
Mailing Address - Street 1:540 S PIKE W
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-2616
Mailing Address - Country:US
Mailing Address - Phone:803-934-8605
Mailing Address - Fax:803-934-9516
Practice Address - Street 1:540 S PIKE W
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-2616
Practice Address - Country:US
Practice Address - Phone:803-934-8605
Practice Address - Fax:803-934-9516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-09
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC043189771332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies