Organization
ADVANCED MEDICAL SUPPLIES OF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES G VAIL RRT (PRESIDENT)
(919) 550-6663
Entity
Organization
Contact information
Practice address
1101 NEUSE RIDGE DR, CLAYTON, NC 27527-5333
(919) 550-6663
(919) 550-9546
Mailing address
1101 NEUSE RIDGE DR, CLAYTON, NC 27527-5333
(919) 550-6663
(919) 550-9546
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00613
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7703456
—
NC
Enumeration date
10/10/2006
Last updated
11/20/2008
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