Provider Demographics
NPI:1033440680
Name:ADVANTAGE MEDSOLUTIONS LLC
Entity Type:Organization
Organization Name:ADVANTAGE MEDSOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:R
Authorized Official - Last Name:MCLEOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-308-5921
Mailing Address - Street 1:109 CAMPUS AVE
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-2605
Mailing Address - Country:US
Mailing Address - Phone:910-848-2400
Mailing Address - Fax:910-848-2410
Practice Address - Street 1:109 CAMPUS AVE
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-2605
Practice Address - Country:US
Practice Address - Phone:910-848-2400
Practice Address - Fax:910-848-2410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-21
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies