Healthcare Provider Details
I. General information
NPI: 1144203217
Provider Name (Legal Business Name): MEDICAL SERVICES OF AMERICA INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/22/2005
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3022 S CROATAN HWY UNIT 10
NAGS HEAD NC
27959-9029
US
IV. Provider business mailing address
PO BOX 1928
LEXINGTON SC
29071-1928
US
V. Phone/Fax
- Phone: 252-441-1604
- Fax: 252-441-2165
- Phone: 803-957-0500
- Fax: 888-342-6190
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
CHRISTINA
M
JEFFCOAT
Title or Position: COO/EXEC VP
Credential:
Phone: 803-957-0500