Healthcare Provider Details

I. General information

NPI: 1114987344
Provider Name (Legal Business Name): SME INC USA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 07/10/2020
Certification Date: 07/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5949 CAROLINA BEACH RD
WILMINGTON NC
28412
US

IV. Provider business mailing address

5949 CAROLINA BEACH RD
WILMINGTON NC
28412-2725
US

V. Phone/Fax

Practice location:
  • Phone: 910-793-2363
  • Fax: 910-793-4820
Mailing address:
  • Phone: 910-793-2363
  • Fax: 910-793-4820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number61919
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number61919
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number61919
License Number StateNC

VIII. Authorized Official

Name: BETH SPEERLI
Title or Position: ADMIN DIRECTOR
Credential:
Phone: 910-793-2363