Organization
TARHEEL DIABETIC AND MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD JOSEPH BROWN (PRESIDENT)
(910) 865-2700
Entity
Organization
Contact information
Practice address
216 E BROAD ST, SAINT PAULS, NC 28384-1612
(910) 865-2700
(910) 865-2800
Mailing address
216 E BROAD ST, SAINT PAULS, NC 28384-1612
(910) 865-2700
(910) 865-2800
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7704243
—
NC
Enumeration date
07/21/2006
Last updated
11/15/2007
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