Organization
JAKI MED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARNAK IVANOV (PRESIDENT)
(704) 684-0097
Entity
Organization
Contact information
Practice address
598 INDIAN TRAIL RD S, SUITE 121, INDIAN TRAIL, NC 28079-8689
(704) 684-0097
(704) 684-0490
Mailing address
609 INDIAN TRAIL RD S, INDIAN TRAIL, NC 28079-7682
(704) 684-0097
(704) 684-0490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/07/2006
Last updated
08/22/2020
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