| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | Advantage Diabetic LLC · Advantage Diabetic Supply | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1144344896 | [sources] | |||
| Sector | Durable Medical Equipment BUS | [sources] | |||
| Status | not available | [sources] | |||
| Address | Columbia, SC 29212 · Ridge Spring, SC 29129 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers excluded from South Carolina's Medicaid program.
United States · SCDHHS
us-medsc-2d81e1514466be5e2a5967540cd9e0760fab22d7 · us-medsc-fad3a1d03f6e20b33bc39ec184f6dbf0ae74b09aFor experts: raw data explorer
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| United States | South Carolina Department of Health and Human Services | - | - |