Organization
MIDSTATE DIABETIC SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA FURR JOHNSON (OWNER)
(704) 984-6651
Entity
Organization
Contact information
Practice address
2342 US HIGHWAY 52 N, ALBEMARLE, NC 28001-8507
(704) 984-6651
Mailing address
2342 US HIGHWAY 52 N, P.O. BOX2215, ALBEMARLE, NC 28001-8507
(704) 984-6651
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/01/2006
Last updated
08/22/2020
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