Carolina Resources

Organization Active NPI Customized Equipment (DME) · Newberry, SC

NPI 1275615205 · NPPES record last updated Jun 25, 2008

Key facts

NPI
1275615205
Entity type
Organization (NPI type 2)
Primary specialty
Customized Equipment (DME) 332BC3200X
Legal business name
CAROLINA RESOURCES
Practice address
1345 Wilson Rd
Newberry, SC 29108-3061
Phone
(803) 276-3200
Fax
(803) 276-3220
NPI assigned
Oct 19, 2006
Organization subpart
No

Authorized official

Name
Mr. Clarence Melvin Ellison
Title
Owner
Phone
(803) 276-3200

National Provider Directory

Locations

1345 Wilson Rd
Newberry, SC 29108
Phone (803) 276-3200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Yes

Addresses

Primary practice location

1345 Wilson Rd
Newberry, SC 29108-3061

Mailing address

PO Box 609
Newberry, SC 29108-0609
Phone (803) 276-3200

Other identifiers

IdentifierTypeStateIssuer
DME988MedicaidSC

Other names

  • Learning Resources Doing business as

Other providers in Newberry, SC

All providers in Newberry, SC · Customized Equipment (DME) in South Carolina

Sources for this page

Verify at the official NPI Registry.