Healthcare Provider Details

I. General information

NPI: 1295165454
Provider Name (Legal Business Name): MMS UNLIMITED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2013
Last Update Date: 11/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7264 GB ALFORD HWY SUITE #103
HOLLY SPRINGS NC
27540-7661
US

IV. Provider business mailing address

7264 GB ALFORD HWY SUITE #103
HOLLY SPRINGS NC
27540-7661
US

V. Phone/Fax

Practice location:
  • Phone: 779-324-2435
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: RICHARD HARRISON
Title or Position: V.P
Credential:
Phone: 779-324-2435