MEDICARE: R&B MEDICAL WIGS

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	:	1174137632
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R&B MEDICAL WIGS

Provider Business Mailing Address
First Line	:	104 LYNDEN LN
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28560-8552
Country	:	US
Telephone Number	:	312-846-0957
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 LYNDEN LN
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28560-8552
Country	:	US
Telephone Number	:	312-846-0957
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RAMONA STRONG
Credential	:
Telephone Number	:	312-846-0957

Provider Enumeration Date	:	09/02/2020
Last Update Date	:	09/02/2020

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Directions to “R&B MEDICAL WIGS ” Practice Location

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