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Organization

MUTUAL MEDICAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. A BLAKE ABBOTT (PARTNER)
(336) 677-1299
Entity
Organization

Contact information

Practice address
108 SHARON DR, YADKINVILLE, NC 27055-6769
(336) 677-1299
(336) 677-1219
Mailing address
PO BOX 1426, YADKINVILLE, NC 27055-1426
(336) 677-1299
(336) 677-1219

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7704965
NC
Enumeration date
03/17/2008
Last updated
12/02/2008
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