Provider Demographics
NPI:1366848277
Name:CAPE FEAR MEDICAL AND RESPIRATORY
Entity Type:Organization
Organization Name:CAPE FEAR MEDICAL AND RESPIRATORY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-622-1521
Mailing Address - Street 1:324 VILLAGE RD NE
Mailing Address - Street 2:SUITE B
Mailing Address - City:LELAND
Mailing Address - State:NC
Mailing Address - Zip Code:28451-9215
Mailing Address - Country:US
Mailing Address - Phone:910-622-1521
Mailing Address - Fax:
Practice Address - Street 1:324 VILLAGE RD NE
Practice Address - Street 2:SUITE B
Practice Address - City:LELAND
Practice Address - State:NC
Practice Address - Zip Code:28451-9215
Practice Address - Country:US
Practice Address - Phone:910-622-1521
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-05
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment