Organization
ATLANTIC COAST ORTHOPEDIC MEDICAL SUPPLIES
Active
Other names
Select Rehab, ACO Med Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA MARIE REBAGLIA (DIRECTOR OF OPERATIONS)
(704) 749-6284
Entity
Organization
Contact information
Practice address
9006 PERIMETER WOODS DR STE B, CHARLOTTE, NC 28216-2466
(704) 921-0116
(704) 921-0117
Mailing address
PO BOX 744966, ATLANTA, GA 30374-4966
(704) 921-0116
(704) 921-0117
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
12/11/2018
Last updated
06/06/2023
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