institution
Otis Boyd Gardo Jr
Customized Equipment (DME) in Greenville, South Carolina
NPI 1093983215

Otis Boyd Gardo Jr is a Customized Equipment (DME) based in Piedmont, SC and is specialized in Customized Equipment. Otis Boyd Gardo Jr practices in Greenville, SC. The NPI Number for Otis Boyd Gardo Jr is 1093983215 and holds a License No. (South Carolina).

The current practice location address for Otis Boyd Gardo Jr is 1007 Grove Rd, Greenville, SC and can be reached out via phone at 864-232-3008 and via fax at 864-845-8556. You can also correspond with Otis Boyd Gardo Jr through the mailing address at 126 COOL MEADOWS DR, PIEDMONT, SC - 29673-8941 (mailing address contact number: 864-232-3008).

Location: 1007 Grove Rd, Greenville, SC, 29673-8941
institution
Provider Profile Details
NPI Number
1093983215
Provider Name
Otis Boyd Gardo Jr
Credential
Provider Entity Type
Organization
Address
1007 Grove Rd, Greenville, SC, 29673-8941
Phone Number
864-232-3008
Fax Number
864-845-8556
Provider Enumeration Date
02/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
530923946B 05 GA
7704873 05 NC
DE2711 05 SC
institution
Provider Business Practice Location Address Details
Address
1007 Grove Rd
City
State
Zip
29605-4630
Phone Number
864-232-3008
Fax Number
864-845-8556
person
Provider Business Mailing Address Details
Address
1007 Grove Rd
City
State
Zip
29605-4630
Phone Number
864-232-3008
Fax Number
864-845-8556
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
()
Definition
Definition to come...
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