Organization
TOTALLY COMMITTED DIABETIC SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BIRTHA C. SHAW (OWNER)
(910) 944-0406
Entity
Organization
Contact information
Practice address
340 COMMERCE AVE, SUITE 13, SOUTHERN PINES, NC 28387-7093
(910) 944-0406
(910) 944-0407
Mailing address
340 COMMERCE AVE, SUITE 13, SOUTHERN PINES, NC 28387-7093
(910) 944-0406
(910) 944-0407
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7703400
—
NC
Enumeration date
12/03/2006
Last updated
05/17/2022
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