Organization
TARHEEL SURGICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON FOREST HERLOCKER (OWNER)
(833) 761-6700
Entity
Organization
Contact information
Practice address
1040 RANDOLPH ST STE 34, THOMASVILLE, NC 27360-6384
(833) 761-6700
Mailing address
1040 RANDOLPH ST STE 34, THOMASVILLE, NC 27360-6384
(833) 761-6700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/14/2020
Last updated
06/02/2020
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