MEDICARE: HEALTH & WELLNESS MEDICAL SUPPLIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	01600	NC

General Provider Information

NPI Number	:	1740519438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH & WELLNESS MEDICAL SUPPLIES

Provider Business Mailing Address
First Line	:	2530 MERIDIAN PKWY
Second Line	:	STE: 300
City	:	DURHAM
State	:	NC
Zip	:	27713-5272
Country	:	US
Telephone Number	:	919-806-4965
Fax Number	:

Provider Business Practice Location Address
First Line	:	2530 MERIDIAN PKWY
Second Line	:	STE: 300
City	:	DURHAM
State	:	NC
Zip	:	27713-5272
Country	:	US
Telephone Number	:	919-806-4965
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. OSCAR L. KELLEY
Credential	:
Telephone Number	:	919-523-7566

Provider Enumeration Date	:	12/09/2009
Last Update Date	:	12/09/2009

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