Organization
CAROLINA MEDICAL SPECIALTIES, INC.
Active
Parent organization
CAROLINA MEDICAL SPECIALTIES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINA MEDICAL SPECIALTIES, INC.
Authorized official
MR. DIMITRI K. SLEEM (DIRECTOR)
(910) 977-5511
Entity
Organization
Contact information
Practice address
420 RALEIGH ST, SUITE D, WILMINGTON, NC 28412-6316
(910) 452-0999
(910) 452-2935
Mailing address
PO BOX 53277, FAYETTEVILLE, NC 28305-3277
(910) 485-0500
(910) 485-2600
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01163
NC
332BC3200X
Customized Equipment (DME)
01163
NC
335E00000X
Prosthetic/Orthotic Supplier
01163
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01163
BOARD OF PHARMACY PERMIT
NC
Enumeration date
07/11/2007
Last updated
07/11/2007
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