MEDICARE: JOY MEDICAL SUPPLY

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	01797	NC

General Provider Information

NPI Number	:	1235494634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOY MEDICAL SUPPLY

Provider Business Mailing Address
First Line	:	8305 UNIVERSITY EXEC PARK DR
Second Line	:	SUITE 340
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-1361
Country	:	US
Telephone Number	:	704-817-9309
Fax Number	:	704-733-9771

Provider Business Practice Location Address
First Line	:	8305 UNIVERSITY EXEC PARK DR
Second Line	:	SUITE 340
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-1361
Country	:	US
Telephone Number	:	704-817-9309
Fax Number	:	704-733-9771

Authorized Official
Title or Position	:	OWNER
Name	:	MR. BENSON IKENNA EJINDU
Credential	:
Telephone Number	:	704-906-2470

Provider Enumeration Date	:	07/11/2012
Last Update Date	:	07/11/2012

Similar Medicare Providers

1750458246 — RICHARD F. DEST, DDS, PA
Practice Location Address:

8305 UNIVERSITY EXEC PARK DR , SUITE 300
CHARLOTTE, NC
28262-1361

Practice Phone: 704-547-1279
Practice Fax: 704-547-8383

1235422858 — MR. BENSON IKENNA EJINDU
Practice Location Address:

8305 UNIVERSITY EXEC PARK DR , SUITE 340
CHARLOTTE, NC
28262-1361

Practice Phone: 704-733-9771
Practice Fax: 704-733-9771

1831443456 — JOY MEDICAL SUPPLY
Practice Location Address:

8305 UNIVERSITY EXEC PARK DR , SUITE 340
CHARLOTTE, NC
28262-1361

Practice Phone: 704-817-9309
Practice Fax: 704-733-9771

1750704144 — CAROL IWUCHUKWU
Practice Location Address:

8305 UNIVERSITY EXEC PARK DR , STE 340
CHARLOTTE, NC
28262-1361

Practice Phone: 704-817-9309
Practice Fax: 704-733-9771

1427226992 — OWENS ENTERPRISES OF THE CAROLINAS, INC.
Practice Location Address:

1361 E MOREHEAD ST
CHARLOTTE, NC
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Practice Phone: 704-405-0700
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1003065368 — MR. JASON RALPH RIFFLE C.P.
Practice Location Address:

3707 LATROBE DR STE 430
CHARLOTTE, NC
28211-1361

Practice Phone: 704-375-2587
Practice Fax: 704-333-4429

Directions to “JOY MEDICAL SUPPLY ” Practice Location

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