Organization
NATIONAL MED SOURCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ETHEL R BRADSHAW (SEC)
(704) 539-4445
Entity
Organization
Contact information
Practice address
1892 WEST MEMORIAL HWY, UNION GROVE, NC 28689-9049
(704) 539-4445
Mailing address
PO BOX 103, UNION GROVE, NC 28689-0103
(704) 539-4445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7703861
—
NC
Enumeration date
11/08/2006
Last updated
03/17/2010
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