Organization
STALLS MEDICAL, INC.
Active
Parent organization
STALLS MEDICAL, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
STALLS MEDICAL, INC.
Authorized official
MR. JERRY C. STALLS (PRESIDENT)
(919) 233-0732
Entity
Organization
Contact information
Practice address
3010 EATON AVE STE A, INDIAN TRAIL, NC 28079-8830
(704) 628-0264
Mailing address
3010 EATON AVE STE A, INDIAN TRAIL, NC 28079-8830
(704) 628-0264
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
00324
NC
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7700468
—
NC
Enumeration date
11/12/2010
Last updated
04/05/2019
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