Organization
FREEDOM MOBILITY CENTER, INC.
Active
Parent organization
FREEDOM MOBILITY CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
FREEDOM MOBILITY CENTER, INC.
Authorized official
JOHN GILBERT COTHAM (CEO)
(704) 658-0817
Entity
Organization
Contact information
Practice address
224 ONEIL CT STE 23, COLUMBIA, SC 29223-7649
(803) 807-2999
(803) 708-1843
Mailing address
110 TALBERT POINTE DR, MOORESVILLE, NC 28117-4377
(704) 658-0817
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046J3
BCBS
NC
05
—
7703634
—
NC
Enumeration date
06/28/2017
Last updated
03/03/2021
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