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NPI Code Detail

MEDICARE: SOUTH EASTERN MEDICAL SUPLIES,INC

MEDICARE: SOUTH EASTERN MEDICAL SUPLIES,INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332BN1400XNursing Facility Supplies (DME)01375NC
2332BC3200XCustomized Equipment (DME)01375NC
3332B00000XDurable Medical Equipment & Medical Supplies01375NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101375OTHERNCNC BOARD OF PHARMACY

General Provider Information

NPI Number : 1043495377
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH EASTERN MEDICAL SUPLIES,INC
Provider Business Mailing Address
First Line : 1307 E MILLBROOK RD
Second Line : SUITE C-23
City : RALEIGH
State : NC
Zip : 27609-5476
Country : US
Telephone Number : 919-341-4468
Fax Number : 919-341-2378
Provider Business Practice Location Address
First Line : 1307 E MILLBROOK RD
Second Line : SUITE C-23
City : RALEIGH
State : NC
Zip : 27609-5476
Country : US
Telephone Number : 919-341-4468
Fax Number : 919-341-2378
Authorized Official
Title or Position : DIRECTOR
Name : EZUMA E ASI
Credential : RN
Telephone Number : 919-341-4468
Provider Enumeration Date : 01/06/2008
Last Update Date : 04/23/2008

Similar Medicare Providers

1396763868 — DR. WILLIAM THOMAS HUTCHINS JR. D.D.S.
Practice Location Address:
1307 E MILLBROOK RD , SUITE 108C
RALEIGH, NC
27609-5476
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1184821704 — MR. OLA ADEBAYO BALOGUN
Practice Location Address:
1307 E MILLBROOK RD STE C106
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1780853911 — W. THOMAS HUTCHINS, JR. D.D.S., PA.
Practice Location Address:
1307 E MILLBROOK RD , SUITE 108-C
RALEIGH, NC
27609-5476
Practice Phone: 919-876-8010
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1073752572 — AGAPE HEALTHCARE AGENCY, LLC
Practice Location Address:
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1962735886 — GLOBAL HEALTHCARE RESOURCES, INC
Practice Location Address:
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1932841657 — MEDIQUE MEDICAL EQUIPMENT SUPPLY, INC.
Practice Location Address:
1307 E MILLBROOK RD STE C106
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27609-5476
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Practice Fax:

Directions to “SOUTH EASTERN MEDICAL SUPLIES,INC ” Practice Location

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