Organization
SOUTHEAST MEDICAL & MOBILITY SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH A DODDS (PRESIDENT)
(828) 304-1263
Entity
Organization
Contact information
Practice address
1620 TATE BLVD SE, HICKORY, NC 28602-4244
(828) 304-1263
(828) 304-1264
Mailing address
PO BOX 3472, HICKORY, NC 28603-3472
(828) 304-1263
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01396
NC
Other
Enumeration date
04/12/2006
Last updated
05/21/2008
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