Provider Demographics
NPI:1922263557
Name:MCM DME & SUPPLIES, INC.
Entity Type:Organization
Organization Name:MCM DME & SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR. OF SALES AND MARKETING
Authorized Official - Prefix:MR
Authorized Official - First Name:MAURICE
Authorized Official - Middle Name:LEOPOLD
Authorized Official - Last Name:CARVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-485-7885
Mailing Address - Street 1:868 W ORANGE ST
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301-4646
Mailing Address - Country:US
Mailing Address - Phone:910-485-7885
Mailing Address - Fax:866-426-8304
Practice Address - Street 1:868 W ORANGE ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-4646
Practice Address - Country:US
Practice Address - Phone:910-485-7885
Practice Address - Fax:866-426-8304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies