Organization
LYNNRAY MEDICAL SUPPLY
Active
Other names
T & G Medical Repair Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY LYNN MILAM (V.P.)
(919) 266-3727
Entity
Organization
Contact information
Practice address
3009 VILLAGE PARK DR, SUITE A, KNIGHTDALE, NC 27545-7982
(919) 266-3727
(919) 266-5592
Mailing address
PO BOX 1272, KNIGHTDALE, NC 27545-1272
(919) 266-3727
(919) 266-5592
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00330
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00330
N.C. DME PERMIT
NC
05
—
7701851
—
NC
Enumeration date
07/22/2005
Last updated
08/22/2007
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