Organization
DOVE MEDICAL SUPPLY RETAIL LLC
Active
Other names
Dove Medical Supply Retail LLC, Dove Medical Supply Retail LLC - Greensboro
Organization subpart
No
Provider details
NPI number
Authorized official
ANNEN SOUTHERLAND (DIRECTOR OF OPERATIONS)
(336) 971-5890
Entity
Organization
Contact information
Practice address
2172 LAWNDALE DR, GREENSBORO, NC 27408-7102
(336) 574-1489
Mailing address
155 S EASTWAY DR, TROUTMAN, NC 28166-9609
(704) 508-2016
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
06/16/2021
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