| Organization Name: | BAMBERG MEDICAL EQUIPMENT & SUPPLY |
| NPI Number: | 1871586974 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL L WILLIAMS (OWNER) |
| Mailing Address: | 3109 Main Hwy Bamberg |
| State: | SC US |
| Postal Code: | 290031614 |
| Phone Number: | 8032451708 |
| Fax Number: | 8032457306 |
| NPI Enumeration Date: | 08/24/2005 |
| NPI Last Update Date: | 06/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 65006621 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |