Organization
ALLIANCE MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER KEITH ARBUCKLE (PRESIDENT/CEO)
(704) 983-5644
Entity
Organization
Contact information
Practice address
707 ALBEMARLE RD, SUITE 4, TROY, NC 27371-8681
(910) 572-2117
(910) 572-5185
Mailing address
707 ALBEMARLE RD, SUITE 4, TROY, NC 27371-8681
(910) 572-2117
(910) 572-5185
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00285
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0487Q
BCBS OF NC PROVIDER NUMBE
—
05
—
6600932
—
NC
05
—
7703871
—
NC
05
—
7795170
—
NC
Enumeration date
12/15/2005
Last updated
08/22/2020
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