Organization
NATIONAL MED SOURCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ETHEL R BRADSHAW (SECRETARY)
(704) 539-4445
Entity
Organization
Contact information
Practice address
1726 MEMORIAL HIGHWAY, SUITE B, UNION GROVE, NC 28689-0103
(704) 539-4445
Mailing address
PO BOX 103, UNION GROVE, NC 28689-0103
(704) 539-4445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00766
NC
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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