Organization
CVC HOME MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARLAND WASHINGTON SEWELL JR. RPH (PRESIDENT)
(910) 326-3349
Entity
Organization
Contact information
Practice address
8114 MARKET ST, STE 100, WILMINGTON, NC 28411-9386
(910) 686-3599
(910) 686-3499
Mailing address
PO BOX 10731, WILMINGTON, NC 28404-0731
(910) 686-3599
(910) 686-3499
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
694
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7703707
—
NC
Enumeration date
05/27/2005
Last updated
01/30/2012
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