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Jeremy Medlin Funderburk SR.
Customized Equipment (DME) in Evington, Virginia
NPI 1598426066

Jeremy Medlin Funderburk SR. is a Customized Equipment (DME) based in Evington, VA and is specialized in Customized Equipment. Jeremy Medlin Funderburk SR. practices in Evington, VA. The NPI Number for Jeremy Medlin Funderburk SR. is 1598426066 and holds a License No. (Virginia).

The current practice location address for Jeremy Medlin Funderburk SR. is 350 Langdon Rd, Evington, VA and can be reached out via phone at 434-941-7015.

Location: 350 Langdon Rd, Evington, VA, 24550-2299
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598426066
Provider Name
Jeremy Medlin Funderburk SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
350 Langdon Rd, Evington, VA, 24550-2299
Phone Number
434-941-7015
Fax Number
Provider Enumeration Date
01/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
350 Langdon Rd
City
Evington
State
Virginia
Zip
24550-2299
Phone Number
434-941-7015
Fax Number
person
Provider Business Mailing Address Details
Address
350 Langdon Rd
City
Evington
State
Virginia
Zip
24550-2299
Phone Number
434-941-7015
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
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Definition
Definition to come...
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