Provider Demographics
NPI:1083844609
Name:HEALTH SOLUTION DURABLE MEDICAL
Entity Type:Organization
Organization Name:HEALTH SOLUTION DURABLE MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TEDDY OSWALD
Authorized Official - Middle Name:O
Authorized Official - Last Name:GANDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-457-1055
Mailing Address - Street 1:670 NORMAN SHOAF RD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27107-7406
Mailing Address - Country:US
Mailing Address - Phone:336-457-1055
Mailing Address - Fax:336-725-1930
Practice Address - Street 1:1911 N CENTENNIAL ST
Practice Address - Street 2:CENTENNIAL CENTER SUITE 202
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7602
Practice Address - Country:US
Practice Address - Phone:336-457-1055
Practice Address - Fax:336-725-1930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies