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Liberty Medical Specialties, INC

Durable Medical Equipment & Medical Supplies in Whiteville, NC. Organization (NPI-2).

NPI number1104921998
StatusActive
Last updated in NPPESJun 28, 2011

Details

NPI
1104921998
Entity type
Organization (NPI-2)
Legal business name
Liberty Medical Specialties, INC
Organization subpart
No
Enumeration date
Sep 14, 2006
Last updated
Jun 28, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

612-10 E Jefferson St
Whiteville, NC 28472

Phone 910-642-2250 · Fax 910-642-0109

Mailing address

Po Box 339
Whiteville, NC 28472-0339

Phone 910-642-2250 · Fax 910-642-0109

Authorized official

Tamara Lynn Jones
Billing Manager
9106422250

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