Organization Name: | TARHEEL DIABETIC AND MEDICAL SUPPLY, INC |
NPI Number: | 1457372815 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHAD JOSEPH BROWN (PRESIDENT) |
Mailing Address: | 216 E Broad St Saint Pauls |
State: | NC US |
Postal Code: | 283841612 |
Phone Number: | 9108652700 |
Fax Number: | 9108652800 |
NPI Enumeration Date: | 07/21/2006 |
NPI Last Update Date: | 11/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |