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Organization
MARIO CARVER
Active
Organization
MARIO CARVER
Active
Other names
New Beginning Orthotics & Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO ANDRE CARVER CFTS (OWNER)
(901) 486-9338
Entity
Organization
Contact information
Practice address
1128 WINCHESTER RD STE 103, MEMPHIS, TN 38116-3151
(901) 396-6221
(901) 509-8374
Mailing address
P. O. BOX 162398, MEMPHIS, TN 38186
(901) 396-6221
(901) 396-6224
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
153
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08573390
—
MS
05
—
1455187
—
TN
01
—
4170614
BCBS
TN
Enumeration date
10/24/2006
Last updated
04/21/2023
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