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Shelley Phillips Bandy, CMF,CMF,COF
Prosthetic/Orthotic Supplier in Morehead City, North Carolina
NPI 1295139913

Shelley Phillips Bandy is a Prosthetic/Orthotic Supplier based in Morehead City, NC. Shelley Phillips Bandy practices in Morehead City, NC and has the professional credentials of CMF,CMF,COF. The NPI Number for Shelley Phillips Bandy is 1295139913 and holds a License No. C51438 (North Carolina).

The current practice location address for Shelley Phillips Bandy is 306 Penny Ln, Morehead City, NC and can be reached out via phone at 252-773-0904 and via fax at 252-565-1733.

Location: 306 Penny Ln, Morehead City, NC, 28557-4306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295139913
Provider Name
Shelley Phillips Bandy
Credential
CMF,CMF,COF
Provider Entity Type
Individual
Gender
Female
Address
306 Penny Ln, Morehead City, NC, 28557-4306
Phone Number
252-773-0904
Fax Number
252-565-1733
Provider Enumeration Date
10/09/2014
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1295280139 05 NC
1295280139 01 NC BLUE CROSS AND BLUE SHIELD NC
1295280139 01 NC MEDICAID
1295280139 01 NC BLUE CROSS AND BLUE SHIELD SC
institution
Provider Business Practice Location Address Details
Address
306 Penny Ln
City
Morehead City
State
North Carolina
Zip
28557-4306
Phone Number
252-773-0904
Fax Number
252-565-1733
person
Provider Business Mailing Address Details
Address
306 Penny Ln
City
Morehead City
State
North Carolina
Zip
28557-4306
Phone Number
252-773-0904
Fax Number
252-565-1733
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
C51438 (North Carolina)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
C51438 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Dialysis Equipment & Supplies
Taxonomy
332BD1200X
License No.
C51438 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
C51438 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
C51438 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
C51438 (North Carolina)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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