THE SPORTS MEDICINE SHOP INC NPI 1508139908

NPI Information

THE SPORTS MEDICINE SHOP, INC is a durable medical equipment medical supplies in Anderson, SC. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. THE SPORTS MEDICINE SHOP, INC NPI is 1508139908. The provider is registered as an organization entity type.

The provider's business location address is:

1205 ELLA ST STE A
ANDERSON, SC
ZIP 29621-811
Phone: (864) 760-0909
Fax: (866) 594-2740

The provider's authorized official is Jennifer Jeanne Smith .
The authorized official title is Vp Operations and has the following contact phone number (864) 760-0909.

The enumeration date for this NPI number is 2/15/2012 and was last updated on 7/13/2021.

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:

Other Identifiers

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