Organization
DIRECT ADVANTAGE DIABETIC SUPPLY,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW TIMMERMAN (OWNER)
(704) 568-9649
Entity
Organization
Contact information
Practice address
4301 MORRIS PARK DR, MINT HILL, NC 28227-8253
(877) 315-6023
Mailing address
4301 MORRIS PARK DR, MINT HILL, NC 28227-8253
(877) 315-6023
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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