Organization
MEDIDON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN ANNE BLAIR CRTT (CEO)
(877) 348-2727
Entity
Organization
Contact information
Practice address
213 EXECUTIVE PARK, ASHEVILLE, NC 28801-2427
(877) 348-2727
(919) 869-1934
Mailing address
213 EXECUTIVE PARK, ASHEVILLE, NC 28801-2427
(877) 348-2727
(919) 869-1934
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
07-00019270
NC
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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