MEDICARE: GWM ENTERPRISES INC

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	332BX2000X	Oxygen Equipment & Supplies (DME)	09116	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851457204
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GWM ENTERPRISES INC

Provider Business Mailing Address
First Line	:	107 SMITH CHURCH RD
Second Line	:
City	:	ROANOKE RAPIDS
State	:	NC
Zip	:	27870-4911
Country	:	US
Telephone Number	:	252-586-3836
Fax Number	:

Provider Business Practice Location Address
First Line	:	139 ELAMS RD
Second Line	:
City	:	LITTLETON
State	:	NC
Zip	:	27850-8479
Country	:	US
Telephone Number	:	252-537-7010
Fax Number	:	252-410-0743

Authorized Official
Title or Position	:	VP OPERATIONS
Name	:	MR. BRYAN ISLES
Credential	:
Telephone Number	:	252-537-7010

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	03/20/2008

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Directions to “GWM ENTERPRISES INC ” Practice Location

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