MEDICARE: ARCUS MEDICAL, LLC

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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1083663645
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARCUS MEDICAL, LLC

Provider Business Mailing Address
First Line	:	2327 DISTRIBUTION ST
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28203-5023
Country	:	US
Telephone Number	:	704-332-3424
Fax Number	:	704-332-3425

Provider Business Practice Location Address
First Line	:	2327 DISTRIBUTION ST
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28203-5023
Country	:	US
Telephone Number	:	704-332-3424
Fax Number	:	704-332-3425

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MARK MISKIE
Credential	:
Telephone Number	:	704-332-3424

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	04/02/2008

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