Organization
CHARLOTTE MEDICAL EUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GODY O. IVRI (OWNER)
(704) 233-7887
Entity
Organization
Contact information
Practice address
3637 E INDEPENDENCE BLD., CHARLOTTE, NC 28224
(704) 233-7887
Mailing address
3637 E INDEPENDENCE BLVD, CHARLOTTE, NC 28205-7262
(704) 233-7887
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7704192
—
NC
Enumeration date
04/11/2007
Last updated
08/22/2020
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