Value Medical Southeast, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

VALUE MEDICAL SOUTHEAST, LLC

Doing business as

Value Medical

Practice address

105 Kiowa LN
Piedmont, SC 29673-6751

Phone

(404) 475-1202

Fax

(404) 475-1217

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Brady Stoughton, JD (JURIS DOCTOR)

Title

Principal

Phone

(404) 475-1202

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Value Medical Doing business as

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1386668978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 KIOWA LN",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296736751",
            "telephone_number": "404-475-1202",
            "fax_number": "404-475-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 KIOWA LN",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296736751",
            "telephone_number": "404-475-1202",
            "fax_number": "404-475-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUE MEDICAL SOUTHEAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "STOUGHTON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "BRADY",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "404-475-1202",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD (JURIS DOCTOR)"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704053",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Value Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Piedmont, SC
• Providers in Piedmont, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.