MICHAEL R. TAMBLING NPI 1396803409

NPI Information

NPI: 1396803409
Provider Name: MICHAEL R. TAMBLING

Doing Business As: PALMETTO PEDORTHIC CARE

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
1671 LAKE MURRAY BLVD
COLUMBIA, SC
ZIP 29212
Phone: (803) 269-3990
Get Directions

MICHAEL R. TAMBLING is a customized equipment durable medical equipment medical supplies in Columbia, SC. MICHAEL R. TAMBLING NPI is 1396803409. The provider is registered as an organization entity type.
The provider Is Doing Business As Palmetto Pedorthic Care.

The provider's business location address is:

1671 LAKE MURRAY BLVD
COLUMBIA, SC
ZIP 29212-626
Phone: (803) 269-3990
Fax: (803) 407-9195

The provider's authorized official is Richard G Graham .
The authorized official title is Manager and has the following contact phone number (803) 269-3990.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 12/29/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	SOUTH CAROLINA	BLUE CROSS PROVIDER NUMBE
2	DM1013	MEDICAID	SOUTH CAROLINA
3	1268520001	MEDICARE NSC	SOUTH CAROLINA
4	C814	OTHER	SOUTH CAROLINA	ANCILLARY CARE MANAGEMENT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »