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Organization

CAROLINA MEDICAL SPECIALTIES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DIMITRI K. SLEEM (DIRECTOR)
(910) 485-0500
Entity
Organization

Contact information

Practice address
1111 1/2 BRAGG BLVD, FAYETTEVILLE, NC 28301-4513
(910) 485-0500
(910) 485-2060
Mailing address
PO BOX 53277, FAYETTEVILLE, NC 28305-3277
(910) 485-0500
(910) 485-2600

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
01069
NC
332BC3200X
Customized Equipment (DME)
Primary
01069
NC
335E00000X
Prosthetic/Orthotic Supplier
01069
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7704467
NC
Enumeration date
12/01/2006
Last updated
01/18/2008
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