Organization
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Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL EFFREN (OWNER)
(704) 609-3636
Entity
Organization
Contact information
Practice address
10729 YELLOW TAIL CT, CHARLOTTE, NC 28270-1163
(704) 609-3636
Mailing address
10729 YELLOW TAIL CT, CHARLOTTE, NC 28270-1163
(704) 609-3636
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/29/2008
Last updated
07/30/2008
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