Organization
HEADGEAR MEDICAL EQUIPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY K MYERS (PRESIDENT)
(336) 753-0555
Entity
Organization
Contact information
Practice address
58 COURT SQ, STE 1, MOCKSVILLE, NC 27028-2467
(336) 753-0555
Mailing address
58 COURT SQ, STE 1, MOCKSVILLE, NC 27028-2467
(336) 753-0555
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01781
NORTH CAROLINA BOARD OF PHARMACY
NC
05
—
7703760
—
NC
01
—
S1541
THE BOARD OF CERTIFICATION / ACCREDITATION, INTERNATIONAL
—
Enumeration date
04/03/2011
Last updated
10/08/2012
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