MEDICARE: TAMMY BELKMCFARLEY

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	335E00000X	Prosthetic/Orthotic Supplier		NC
2	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1720897226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMY BELKMCFARLEY

Provider Business Mailing Address
First Line	:	12712 BRADY DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-5243
Country	:	US
Telephone Number	:	704-891-1256
Fax Number	:

Provider Business Practice Location Address
First Line	:	9215 MONROE RD STE 23
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28270-2535
Country	:	US
Telephone Number	:	704-891-1256
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/31/2024
Last Update Date	:	10/27/2025

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Directions to “ TAMMY BELKMCFARLEY ” Practice Location

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