Organization
GREENLEAF MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL WOOD (VP)
(336) 705-0610
Entity
Organization
Contact information
Practice address
1409 PLAZA WEST DR STE G, WINSTON SALEM, NC 27103-1418
(336) 705-0610
Mailing address
1409 PLAZA WEST RD, SUITE G, WINSTON SALEM, NC 27103
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/01/2017
Last updated
03/09/2018
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