| |
107 N Murrow Blvd, Ste 101, Greensboro, NC 27401-2958 | |
(336) 275-5571 | |
(336) 274-2686 |
Full Name | |
---|---|
Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 107 N Murrow Blvd, Greensboro, North Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417063017 | NPI | - | NPPES |
890806J | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 345 (North Carolina) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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107 N Murrow Blvd, Ste 101, Greensboro, NC 27401-2958 Ph: (336) 275-5571 | 107 N Murrow Blvd, Ste 101, Greensboro, NC 27401-2958 Ph: (336) 275-5571 |