Jeremy Medlin Funderburk Sr.
Jeremy Medlin Funderburk Sr. is a Customized Equipment (DME) in Evington, Virginia. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
350 Langdon RdEvington, VA 24550-2299
Phone: (434) 941-7015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Customized Equipment (DME) (primary) | Taxonomy 332BC3200X |
|---|
Record details
| NPI number | 1598426066 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 6, 2022 |
| Last updated in NPPES | January 6, 2022 |
| Certification date | January 6, 2022 |