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Organization

PENROD MEDICAL EQUIPMENT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CRAIG STANLEY RAE (PARTNER / MEMBER)
(704) 630-1155
Entity
Organization

Contact information

Practice address
1806 W INNES ST, SALISBURY, NC 28144-2554
(704) 630-1155
(888) 462-4916
Mailing address
1806 W INNES ST, SALISBURY, NC 28144-2554
(704) 630-1155
(888) 462-4916

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00829
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7703906
NC
01
V21893
VGM GROUP COMPANY
NC
Enumeration date
05/11/2006
Last updated
02/22/2012
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