Organization
TAC ALPHA MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENE B LUSK (PRESIDENT)
(919) 965-4466
Entity
Organization
Contact information
Practice address
20 NOBLE ST, SMITHFIELD, NC 27577-9300
(919) 934-4555
Mailing address
423 DIXIE DR, SELMA, NC 27576-2377
(919) 934-4555
(919) 965-8483
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/21/2005
Last updated
10/22/2007
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