Organization
EMERGEORTHO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ALVA DIMMIG MD (PRESIDENT)
(919) 220-5255
Entity
Organization
Contact information
Practice address
1168 EAST CUTLAR CROSSING, LELAND, NC 28451
(910) 332-3800
Mailing address
2716 ASHTON DR, WILMINGTON, NC 28412-2489
(910) 332-3800
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401990020
MEDICARE DME
NC
Enumeration date
06/25/2019
Last updated
02/13/2020
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