Organization
TARHEEL MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP EUGENE DAVIS SR. PH.D. (OWNER AND CEO)
(919) 969-2669
Entity
Organization
Contact information
Practice address
1201 RALEIGH RD STE C, CHAPEL HILL, NC 27517-4047
(919) 969-2669
(919) 969-2644
Mailing address
1201 RALEIGH RD, SUITE C, CHAPEL HILL, NC 27517-4047
(919) 969-2669
(919) 969-2644
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7704692
—
NC
Enumeration date
04/25/2007
Last updated
03/14/2008
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