Organization
MOBILITY PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SCOTT MOORE (PRESIDENT)
(336) 677-3866
Entity
Organization
Contact information
Practice address
105 WOODLYN DR, YADKINVILLE, NC 27055-6673
(336) 677-3866
(336) 677-3867
Mailing address
PO BOX 547, YADKINVILLE, NC 27055-0547
(336) 677-3866
(336) 677-3867
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
064A0
BLUE CROSS/BLUE SHEILD
NC
05
—
7703855
—
NC
01
—
804402
PARTNERS
NC
Enumeration date
02/13/2006
Last updated
05/19/2011
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