MEDICARE: TRU-IMAGE MEDICAL

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	01247	NC

General Provider Information

NPI Number	:	1790837847
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRU-IMAGE MEDICAL

Provider Business Mailing Address
First Line	:	1436 EAST DIXIE DRIVE
Second Line	:	A
City	:	ASHEBORO
State	:	NC
Zip	:	27203-7955
Country	:	US
Telephone Number	:	336-625-1387
Fax Number	:	336-625-1951

Provider Business Practice Location Address
First Line	:	1436 EAST DIXIE DRIVE
Second Line	:	A
City	:	ASHEBORO
State	:	NC
Zip	:	27203-7955
Country	:	US
Telephone Number	:	336-625-1387
Fax Number	:	336-625-1951

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. RENE H HAMMON
Credential	:
Telephone Number	:	336-625-1387

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	02/26/2010

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Directions to “TRU-IMAGE MEDICAL ” Practice Location

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