Organization
MED CONN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIA PARKER HEDSPETH (DIRECTOR/OWNER)
(252) 862-1041
Entity
Organization
Contact information
Practice address
1112 ACADEMY ST N, AHOSKIE, NC 27910-2210
(252) 862-1041
(252) 862-1043
Mailing address
1112 N ACADEMY ST, AHOSKIE, NC 27910-0485
(252) 862-1041
(252) 862-1043
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
00329
NC
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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