Organization
PRO MED EQUIPMENT AND SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNDI W CHAMBLEE (OWNERVICE PRESIDENT)
(252) 332-8081
Entity
Organization
Contact information
Practice address
601 MEMORIAL DR E, AHOSKIE, NC 27910-3935
(252) 332-8081
(252) 332-8091
Mailing address
601 MEMORIAL DR E, AHOSKIE, NC 27910-3935
(252) 332-8081
(252) 332-8091
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
NC
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NC
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
00609
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7703460
—
NC
Enumeration date
08/24/2005
Last updated
07/09/2013
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