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Individual

MRS. SYLVIA S MEADS

Active
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Individual

MRS. SYLVIA S MEADS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ROFM

Taxonomy

Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
225000000X
Orthotic Fitter
CFOM0204
NC
229N00000X
Anaplastologist
NC
332BC3200X
Customized Equipment (DME)
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0482P
BCBS
NC
01
384410
BCBS
VA
05
7701327
NC
01
7795160
INDIVID EDS
05
9190511
VA
Enumeration date
04/19/2006
Last updated
10/01/2013
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