Mash, LLC
General Practice in Durham, NC. Organization (NPI-2).
NPI number1477949865
StatusActive
Last updated in NPPESJan 3, 2023
Details
- NPI
- 1477949865
- Entity type
- Organization (NPI-2)
- Legal business name
- Mash, LLC
- Organization subpart
- No
- Enumeration date
- Apr 13, 2015
- Certification date
- Jan 3, 2023
- Last updated
- Jan 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Other names
- Bedsiide (Doing Business As)
- Onpulse (Doing Business As)
Practice location
112 S Duke StSuite #1
Durham, NC 27701-3172
Phone 919-294-9410 · Fax 919-827-4998
Mailing address
Po Box 52383Durham, NC 27717-2383
Phone 919-808-1395 · Fax 919-827-4998
Authorized official
Corenthian Jerome Booker
Owner
9198081395
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