Organization · Type 2 NPI

Elegant Profile LLC

Durable Medical Equipment & Medical Supplies · Winston Salem, NC

NPI number 1194586115 Active

Practice location

4622 Country Club Rd Ste 100
Winston Salem, NC 27104-3770

Fax (336) 793-1218

Specialties and licenses

TaxonomyCodeLicense
Mastectomy Fitter 224900000XNone listed
Durable Medical Equipment & Medical Supplies Primary 332B00000XNone listed

Durable Medical Equipment & Medical Supplies: 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.

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About NPI 1194586115

Elegant Profile LLC's National Provider Identifier is 1194586115, issued on Jan 17, 2024. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Winston Salem, NC. The record was last updated on Apr 21, 2025.