OrganizationActive
Advantage Diabetic Supply, LLC
NPI 1336222967 · Durable Medical Equipment & Medical Supplies · West Columbia, SC
Provider details
- NPI number
- 1336222967
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Minnie Thompson, General Partner(803) 939-7275
Specialties & taxonomies
Suppliers
Practice location
229 N Parson St
Suite 218
West Columbia, SC 29169-6451
Phone: (803) 939-7275
Fax: (803) 939-7255
Approximate (ZIP-level) locationGet directions
Mailing address
229 N Parson St
West Columbia, SC 29169-6451
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.