Basic Information
| Provider Information | |||||||||
| NPI: | 1629175674 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CAROLINA MOBILITY & SEATING, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 541 NEW HILL OLIVE CHAPEL RD | ||||||||
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| City: | APEX | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275027304 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9193030902 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2105 CAPITAL DR STE 300 | ||||||||
| Address2: | |||||||||
| City: | WILMINGTON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 284056489 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9107997310 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | ELLIOTT | ||||||||
| AuthorizedOfficialFirstName: | MELICK | ||||||||
| AuthorizedOfficialMiddleName: | B | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9193030902 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332BC3200X | Y | Suppliers | Durable Medical Equipment & Medical Supplies | Customized Equipment |
No ID Information.