Individual
JEREMY MEDLIN FUNDERBURK SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 LANGDON RD, EVINGTON, VA 24550-2299
(434) 941-7015
Mailing address
350 LANGDON RD, EVINGTON, VA 24550-2299
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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