Organization
MEDFAXX,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH G. JOHNSON P.T. (PRESIDENT)
(919) 570-0350
Entity
Organization
Contact information
Practice address
525 S. WHITE ST., WAKE FOREST, NC 27587-2920
(919) 570-0350
(919) 570-0354
Mailing address
P.O. BOX 1289, WAKE FOREST, NC 27588-1289
(919) 570-0350
(919) 570-0354
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
000977949
NC
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03502
BCBS NC
NC
05
—
7701361
—
NC
Enumeration date
11/30/2006
Last updated
07/24/2009
Update your record
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