Organization Name: | DAVID HUDSON WARREN |
NPI Number: | 1093888018 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID HUDSON WARREN (OWNER) |
Mailing Address: | 251 N Trade St Matthews |
State: | NC US |
Postal Code: | 281051713 |
Phone Number: | 7042893334 |
Fax Number: | 7048448156 |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 06/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 01049 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |