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Ms. Stacy Joenetta Vaughn
Durable Medical Equipment & Medical Supplies in Sumter, South Carolina
NPI 1558113449

Stacy Joenetta Vaughn is a Durable Medical Equipment & Medical Supplies based in Sumter, SC. Stacy Joenetta Vaughn practices in Sumter, SC. The NPI Number for Stacy Joenetta Vaughn is 1558113449 and holds a License No. (South Carolina).

The current practice location address for Stacy Joenetta Vaughn is 214 W Liberty St, Sumter, SC and can be reached out via phone at 803-565-5017 and via fax at 803-938-5759.

Location: 214 W Liberty St, Sumter, SC, 29150-5181
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558113449
Provider Name
Stacy Joenetta Vaughn
Credential
Provider Entity Type
Individual
Gender
Female
Address
214 W Liberty St, Sumter, SC, 29150-5181
Phone Number
803-565-5017
Fax Number
803-938-5759
Provider Enumeration Date
04/03/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
214 W Liberty St
City
Sumter
State
South Carolina
Zip
29150-5181
Phone Number
803-565-5017
Fax Number
803-938-5759
person
Provider Business Mailing Address Details
Address
214 W Liberty St
City
Sumter
State
South Carolina
Zip
29150-5181
Phone Number
803-565-5017
Fax Number
803-938-5759
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
(South Carolina)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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