Organization Name: | CAPE FEAR MEDICAL AND RESPIRATORY |
NPI Number: | 1366848277 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMIE LYNN WATTS (OWNER) |
Mailing Address: | 324 Village Rd Ne Suite B Leland |
State: | NC US |
Postal Code: | 284519215 |
Phone Number: | 9106221521 |
Fax Number: | |
NPI Enumeration Date: | 11/05/2014 |
NPI Last Update Date: | 04/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |