Organization
LIBERTY MEDICAL SPECIALTIES, INC.
Active
Parent organization
LIBERTY MEDICAL SPECIALTIES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIBERTY MEDICAL SPECIALTIES, INC.
Authorized official
MRS. TAMARA LYNN JONES (BILLING MANAGER)
(910) 642-2250
Entity
Organization
Contact information
Practice address
1768 HIGHWAY 501, MYRTLE BEACH, SC 29577-9750
(843) 448-8315
Mailing address
PO BOX 339, WHITEVILLE, NC 28472-0339
(910) 642-2250
(910) 642-0109
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0476T
BCBS
NC
05
—
7701229
—
NC
05
—
DE3292
—
SC
Enumeration date
08/23/2007
Last updated
06/28/2011
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