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Contact Information

ABC MEDICAL, LLC
6185 RIVERS AVE STE B
NORTH CHARLESTON, SC29406-4999
 Phone: 843-767-0580
 Fax: 843-767-0510
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
Indicates primary specialty

NPI Profile & details for ABC MEDICAL, LLC

NPI # 1346293305
LBN Legal business name ABC MEDICAL, LLC
Authorized official WENDY RUSSALESI - (CCO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/18/2006
Last updated 10/12/2025 - About 8 months ago
Identifiers
SC License # 65007005
SC Medicaid DE2350
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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