Healthcare Provider Details

I. General information

NPI: 1215037700
Provider Name (Legal Business Name): DURAMEDIX HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2006
Last Update Date: 02/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4837 TAYLORSVILLE HWY
STONY POINT NC
28678-9050
US

IV. Provider business mailing address

PO BOX 6474
HIGH POINT NC
27262-6474
US

V. Phone/Fax

Practice location:
  • Phone: 704-438-8132
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: CURTIS F. GREGORY
Title or Position: OWNER
Credential:
Phone: 704-438-8132