Organization
CORE MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIXON GRAY TUTOON (OWNER)
(910) 547-7596
Entity
Organization
Contact information
Practice address
2096 WHITE MCEWEN RD, CLARKTON, NC 28433-8570
(910) 547-7596
Mailing address
2096 WHITE MCEWEN RD, CLARKTON, NC 28433-8570
(910) 547-7596
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NC
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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