Provider Demographics
NPI:1285937078
Name:RESOURCE MEDICAL GROUP OF CHARLESTON, LLC
Entity type:Organization
Organization Name:RESOURCE MEDICAL GROUP OF CHARLESTON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-441-8876
Mailing Address - Street 1:1180 RIBAUT RD
Mailing Address - Street 2:SUITES 4&5
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-6108
Mailing Address - Country:US
Mailing Address - Phone:843-757-0906
Mailing Address - Fax:
Practice Address - Street 1:1180 RIBAUT RD STE 2-4
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-6108
Practice Address - Country:US
Practice Address - Phone:843-757-0906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-16
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies