Mobility Supercenter of Charleston

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

LIC-11-12-84965 Issued in SC

Legal business name

MOBILITY SUPERCENTER OF CHARLESTON

Practice address

932 Savannah Hwy
Charleston, SC 29407-7802

Phone

(843) 225-6760

Fax

(843) 225-2398

NPI assigned

Feb 7, 2013

Last updated

Feb 7, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Robin Hernandez

Title

General Manager

Phone

(843) 225-6760

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1063751246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 SAVANNAH HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077802",
            "telephone_number": "843-225-6760",
            "fax_number": "843-225-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 SAVANNAH HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077802",
            "telephone_number": "843-225-6760",
            "fax_number": "843-225-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY SUPERCENTER OF CHARLESTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "843-225-6760",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "SC",
            "license": "LIC-11-12-84965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rachel Mobley, MD
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• Cameron Moeller

• Customized Equipment (DME) in Charleston, SC
• Providers in Charleston, SC by specialty
• Customized Equipment (DME) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.