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Contact Information

MARY CARVER-BAYSDON
2201 -C NORTH PINE STREET
LUMBERTON, NC28358
 Phone: 910-272-9900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for MARY CARVER-BAYSDON

NPI Number 1548291917
LBN Legal business name MARY CARVER-BAYSDON
Authorized official MARY CARVER-BAYSDON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/05/2006
Last updated 07/21/2022 - About 4 years ago
Identifiers
NC License # 312892
NC Medicaid 7703385
SC Medicaid DE1984
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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