Organization
FIRST CHOICE DIABETIC SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD PERRY JACKSON (PRES)
(704) 236-7459
Entity
Organization
Contact information
Practice address
7505 CARIBOU CT, CHARLOTTE, NC 28273-9604
(704) 236-7459
Mailing address
7505 CARIBOU CT, CHARLOTTE, NC 28273-9604
(704) 236-7459
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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