Smoky Ridge Medical Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SMOKY RIDGE MEDICAL SUPPLY, LLC

Practice address

1195 Saint Matthews Rd
Num 211
Orangeburg, SC 29115-3417

Phone

(912) 777-4721

NPI assigned

Apr 21, 2015

Organization subpart

No

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

Authorized official

Name

Tanner Davis

Title

Owner

Phone

(912) 777-4721

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1467849059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 SAINT MATTHEWS RD",
            "address_2": "NUM 211",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291153417",
            "telephone_number": "912-777-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 SAINT MATTHEWS RD",
            "address_2": "NUM 211",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291153417",
            "telephone_number": "912-777-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMOKY RIDGE MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TANNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-777-4721"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Shavetta Smith
• Nakia Smoak Smith, M.D.
• Patricia P Smith, CNM
• Shannon Bright Smith, APRN, ACNS-BC, CNE
• Tammie Michelle Smoak, FNP-BC
• Courtney L Snell
• SNH SC Tenant LLC
• Jonathan Solomon
• South Carolina CVS Pharmacy LLC
• South Carolina Dept of Mental Health Accounting Office

• Durable Medical Equipment & Medical Supplies in Orangeburg, SC
• Providers in Orangeburg, 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 21, 2015; 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.