Organization
UNITED ASSIST MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES ASSAOTCHI (CEO)
(919) 776-1144
Entity
Organization
Contact information
Practice address
1819 LEE AVE, SUITE 3, SANFORD, NC 27330-5756
(919) 776-1144
(919) 776-1147
Mailing address
1819 LEE AVE, SUITE 3, SANFORD, NC 27330-5756
(919) 776-1144
(919) 776-1147
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
01462
NC
332BD1200X
Dialysis Equipment & Supplies (DME)
01462
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7705232
—
NC
Enumeration date
09/24/2008
Last updated
12/30/2013
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