Organization
FREEDOM MOBILITY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN GILBERT COTHAM (CEO)
(704) 658-0817
Entity
Organization
Contact information
Practice address
110 TALBERT POINTE DR, MOORESVILLE, NC 28117-4377
(704) 658-0817
(704) 658-0936
Mailing address
110 TALBERT POINTE DR, MOORESVILLE, NC 28117-4377
(704) 658-0817
(704) 658-0936
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
600390323
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046J3
BCBS
NC
05
—
7703634
—
NC
01
—
804069
PARTNER'S
NC
05
—
DM1138
—
NC
Enumeration date
11/15/2006
Last updated
03/03/2021
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