Individual ProviderNeema DavePhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address350 Pine State St, Lillington, NC 27546-9428(910) 893-9700PECOS EnrollmentBased on the most recent information from CMS, provider Neema Dave is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1407354491Provider TypeIndividualFull NameDave, NeemaCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date1/25/2018Last Updated3/17/2018Contact InformationPractice LocationPractice Address350 Pine State St, Lillington, NC 27546-9428Phone(910) 893-9700FaxUnlisted FaxMailing LocationMailing Address350 Pine State St, Lillington, NC 27546-9428Phone(910) 893-9700FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense001007856North Carolina