Organization
LIBERTY MEDICAL SPECIALTIES, INC
Active
Parent organization
LIBERTY MEDICAL SPECIALTIES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIBERTY MEDICAL SPECIALTIES, INC
Authorized official
MRS. TAMARA LYNN JONES II (BILLING MANAGER)
(910) 642-2250
Entity
Organization
Contact information
Practice address
534 N 35TH ST STE M, MOREHEAD CITY, NC 28557-3175
(252) 247-3657
(252) 726-9320
Mailing address
PO BOX 339, WHITEVILLE, NC 28472-0339
(910) 642-2250
(910) 642-0109
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0476T
BCBS
NC
05
—
7701229
—
NC
05
—
7704922
—
NC
Enumeration date
12/29/2006
Last updated
04/25/2024
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