Healthcare Provider Details

I. General information

NPI: 1114117579
Provider Name (Legal Business Name): GO MEDICAL SUPPLY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2007
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 CENTRAL DR NW
CONCORD NC
28027-4296
US

IV. Provider business mailing address

1030 CENTRAL DR NW
CONCORD NC
28027-4296
US

V. Phone/Fax

Practice location:
  • Phone: 828-713-3549
  • Fax:
Mailing address:
  • Phone: 828-713-3549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: GORDON O OJI
Title or Position: PRESIDENT
Credential:
Phone: 828-713-3549