Organization
CAROLINA PROFESSIONAL MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARYL WAYNE LOCKLEAR (PRESIDENT)
(910) 774-3295
Entity
Organization
Contact information
Practice address
101 N COURT SQ, LUMBERTON, NC 28358-5579
(910) 774-3295
Mailing address
101 N COURT SQ, LUMBERTON, NC 28358-5579
(910) 774-3295
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01330
NC
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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