Provider Demographics
NPI:1437514148
Name:KARTERS MEDICAL SUPPLY
Entity Type:Organization
Organization Name:KARTERS MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TIFFANI
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-593-5195
Mailing Address - Street 1:8957 EDMONSTON RD STE M
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-4047
Mailing Address - Country:US
Mailing Address - Phone:202-741-5646
Mailing Address - Fax:240-554-2214
Practice Address - Street 1:8957 EDMONSTON RD STE M
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-4047
Practice Address - Country:US
Practice Address - Phone:202-741-5646
Practice Address - Fax:240-554-2214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-22
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16982832332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment