Organization
LIBERTY MEDICAL SPECIALTIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAMARA LYNN JONES (BILLING MANAGER)
(910) 642-2250
Entity
Organization
Contact information
Practice address
612-10 E JEFFERSON ST, WHITEVILLE, NC 28472
(910) 642-2250
(910) 642-0109
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
—
DME694
—
SC
Enumeration date
09/14/2006
Last updated
06/28/2011
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