Organization
LIBERTY MEDICAL SPECIALTIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA LYNN JONES IV (BILLING MANAGER)
(910) 642-2250
Entity
Organization
Contact information
Practice address
2224 SOUTH 17TH STREET, WILMINGTON, NC 28401
(910) 763-8229
Mailing address
PO BOX 339, WHITEVILLE, NC 28472
(910) 642-2250
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0476T
BCBS
NC
05
—
7704121
—
NC
Enumeration date
05/09/2007
Last updated
10/05/2011
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