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Pain MD LLC

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

NPI number1417353525
StatusActive
Last updated in NPPESNov 10, 2015

Details

NPI
1417353525
Entity type
Organization (NPI-2)
Legal business name
Pain MD LLC
Organization subpart
No
Enumeration date
Nov 17, 2014
Last updated
Nov 10, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes
335E00000X Prosthetic/Orthotic Supplier––
332900000X Non-Pharmacy Dispensing Site––

Practice location

2508 Ward Blvd
Wilson, NC 27893-1600

Phone 252-206-0693

Mailing address

Po Box 681789
Franklin, TN 37068-1789

Phone 615-503-9000

Authorized official

Carroll E Combs
Corporate Counsel
6155039000

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