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HCA Order Form |
Division | South Atlantic Division | ||
Site/Hospital | Grand Strand Medical Center | ||
Billing | Delivery | ||
Name | Susan.Burke@hcahealthcare.com | Name | Chrissy Wynn |
George.Greene1@healthtrustpg.com | Christine.Wynn@hcahealthcare.com | ||
Address Line 1 | Clinical Education Financial Reporting | Address Line 1 | 2537 Sugar Creek Court |
Address Line 2 | Clinical Education Financial Reporting | Address Line 2 | |
Address Line 3 | Suite 1100 | Address Line 3 | |
City | Nashville | City | Myrtle Beach |
State | TN | State | SC |
ZIP | 37203 | ZIP | 29579 |
Items to Order | |||
Code | Description | Quantity | Total ($) |
A99003 | Brayden Power Adaptor for Adult & Baby, 110v, 8ft cord, U.S. Plug | 4 | $58.60 |
$0.00 | |||
Sub-Total | $58.60 |