Organization · Type 2 NPI

Otis Boyd Gardo JR

Customized Equipment (DME) · Greenville, SC

NPI number 1093983215 Active

Practice location

1007 Grove Rd, Suite E
Greenville, SC 29605-4630

Call (864) 232-3008 Map

Fax (864) 845-8556

Mailing address

126 Cool Meadows Dr
Piedmont, SC 29673-8941

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) Primary 332BC3200XNone listed

Customized Equipment (DME): Definition to come...

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About NPI 1093983215

Otis Boyd Gardo JR's National Provider Identifier is 1093983215, issued on Feb 11, 2008. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Greenville, SC. The record was last updated on Feb 3, 2009.