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HCA Order Form
Division South Atlantic Division
Site/Hospital Trident Medical Center
Billing Delivery
Name Susan.Burke@hcahealthcare.com Name Pat Acedera
Email George.Greene1@healthtrustpg.com Email patricia.acedera@hcahealthcare.com
Address Line 1 Clinical Education Financial Reporting Address Line 1 9330 Medical Plaza Dr.
Address Line 2 Clinical Education Financial Reporting Address Line 2
Address Line 3 Suite 1100 Address Line 3
City Nashville City Charleston
State TN State SC
ZIP 37203 ZIP 29406
Items to Order
Code Description Quantity Total ($)
C99007 Brayden Adult Lung Kit Version A04 (Pack of 24) 1 $47.25
$0.00
  Sub-Total $47.25