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Organization

PROGRESSIVE MEDICAL EQUIPMENT AND SUPPLIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LLEWELLYN HICKS (OWNER)
(919) 592-2332
Entity
Organization

Contact information

Practice address
300B BEAMAN ST, CLINTON, NC 28328-2908
(910) 590-2332
(910) 590-2532
Mailing address
7013 MISSIONARY RIDGE DR, RALEIGH, NC 27610-6349
(910) 590-2332
(910) 590-2553

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
8109498
NC

Other

Enumeration date
05/08/2009
Last updated
05/08/2009
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