MEDICARE: RF MEDICAL SERVICES 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	305R00000X	Preferred Provider Organization

General Provider Information

NPI Number	:	1548697568
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RF MEDICAL SERVICES LLC

Provider Business Mailing Address
First Line	:	705 CUMBERLAND ST
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28301-7020
Country	:	US
Telephone Number	:	910-491-0846
Fax Number	:

Provider Business Practice Location Address
First Line	:	705 CUMBERLAND ST
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28301-7020
Country	:	US
Telephone Number	:	910-491-0846
Fax Number	:

Authorized Official
Title or Position	:	BILLING
Name	:	MS. STEPHANIE L TINDALL
Credential	:
Telephone Number	:	910-491-0846

Provider Enumeration Date	:	10/04/2013
Last Update Date	:	10/04/2013

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