Organization
FREEDOM MOBILITY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GILBERT COTHAM (CEO)
(704) 658-0817
Entity
Organization
Contact information
Practice address
310 RED OAKS SHOPPING CTR, RONCEVERTE, WV 24970-1364
(704) 658-0817
(704) 658-0936
Mailing address
110 TALBERT POINTE DR, MOORESVILLE, NC 28117-4377
(704) 658-0817
(704) 658-0936
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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