Organization
FRESH AIR RESPIRATORY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY RANDALL LOTT RRT, RCP (PRESIDENT)
(704) 868-8881
Entity
Organization
Contact information
Practice address
645 COX RD, SUITE C, GASTONIA, NC 28054-0648
(704) 868-8881
(704) 868-8882
Mailing address
645 COX RD, SUITE C, GASTONIA, NC 28054-0648
(704) 868-8881
(704) 868-8882
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
01161
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7704540
—
NC
Enumeration date
07/27/2006
Last updated
06/10/2009
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