Organization
CAROLINA MEDICAL HEALTH SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLEMENT ADJATEY (OWNER)
(336) 379-0724
Entity
Organization
Contact information
Practice address
1203 FAIRVIEW ST, GREENSBORO, NC 27405-6632
(336) 379-0724
(336) 665-6188
Mailing address
1203 FAIRVIEW ST, GREENSBORO, NC 27405-6632
(336) 379-0724
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01036
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7704426
—
NC
Enumeration date
01/22/2007
Last updated
05/27/2011
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