Provider Demographics
NPI:1750497392
Name:WEAMSCO
Entity Type:Organization
Organization Name:WEAMSCO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNDAY
Authorized Official - Middle Name:JIMMY
Authorized Official - Last Name:NDOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-537-3331
Mailing Address - Street 1:7017 E WT HARRIS BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-4139
Mailing Address - Country:US
Mailing Address - Phone:704-537-3331
Mailing Address - Fax:704-537-3307
Practice Address - Street 1:7017 E WT HARRIS BLVD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-4139
Practice Address - Country:US
Practice Address - Phone:704-537-3331
Practice Address - Fax:704-537-3307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC00749332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC4641990001Medicare NSC