Organization
MICAH'S MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULETTE WASHINGTON (OWNER)
(704) 712-8454
Entity
Organization
Contact information
Practice address
1909 J N PEASE PL, SUITE 204, CHARLOTTE, NC 28262-4558
(704) 712-8454
(704) 910-1550
Mailing address
1909 J N PEASE PL, SUITE 204, CHARLOTTE, NC 28262-4558
(704) 712-8454
(704) 910-1550
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01379
NC
Other
Enumeration date
02/25/2008
Last updated
07/24/2008
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