Organization
CAROLINA MOBILITY & SEATING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELICK B ELLIOTT (PRESIDENT OWNER)
(919) 303-0902
Entity
Organization
Contact information
Practice address
644 INDEPENDENCE PKWY STE 400, CHESAPEAKE, VA 23320-5212
(757) 966-7964
Mailing address
644 INDEPENDENCE PKWY STE 400, CHESAPEAKE, VA 23320-5212
(757) 966-7964
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
0206009258
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001676
OPTIMA
VA
05
—
10080924
—
VA
01
—
183834
ANTHEM BCBS
VA
Enumeration date
12/15/2008
Last updated
08/07/2009
Update your record
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