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Contact Information

SYLVIA S MEADS, ROFM
106 MEDICAL DRIVE
ELIZABETH CITY, NC27909
 Phone: 252-338-3002
 Fax: 252-338-2902
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Customized Equipment

332BC3200X 87 All Other Suppliers
 

Anaplastologist

229N00000X
 

Mastectomy Fitter

224900000X
 

Orthotics/Prosthetics Fitter

225000000X
Indicates primary specialty

NPI Profile & details for

NPI Number 1023073517
Entity Organization
Organization subpart 1 Not specified
Enumeration date 04/19/2006
Last updated 10/01/2013 - About 13 years ago
Identifiers
NC License # CFOM0204
NC Medicaid 7701327
VA Medicaid 9190511
Other 7795160 INDIVID EDS
NC Other 0482P BCBS
VA Other 384410 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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