Southeast Medical & Mobility Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

01396 Issued in NC

Legal business name

SOUTHEAST MEDICAL & MOBILITY SUPPLY INC

Practice address

1620 Tate Blvd SE
Hickory, NC 28602-4244

Phone

(828) 304-1263

Fax

(828) 304-1264

NPI assigned

Apr 12, 2006

Last updated

May 21, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Micah A Dodds

Title

President

Phone

(828) 304-1263

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1558325142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3472",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286033472",
            "telephone_number": "828-304-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 TATE BLVD SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024244",
            "telephone_number": "828-304-1263",
            "fax_number": "828-304-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MEDICAL & MOBILITY SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "DODDS",
        "authorized_official_first_name": "MICAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-304-1263"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "01396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ellen E Sparks, OTD, OTR/L
• Zuma Speakman, DO
• Jessica Anne Spears, LCSW

• Durable Medical Equipment & Medical Supplies in Hickory, NC
• Providers in Hickory, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.