Individual
MRS. DEMETRA MARCIA OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2125 FOREST EDGE DR, GREENSBORO, NC 27406-5429
(336) 457-8668
Mailing address
2125 FOREST EDGE DR, GREENSBORO, NC 27406-5429
(336) 457-8668
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
NC
Enumeration date
06/26/2018
Last updated
06/26/2018
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