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Liberty Medical Specialties, Inc. fax number

(910) 719-9025

Used for: Standard Written Order / CMN for Negative Pressure Wound Therapy (NPWT) equipment and supplies

Fax destination details

Purpose
Standard Written Order / CMN for Negative Pressure Wound Therapy (NPWT) equipment and supplies
Form
Standard Written Order / CMN — STANDARD WRITTEN ORDER / CMN
Address
612-10 Jefferson Street, Whiteville, NC 28472
Voice phone
1-800-297-7567

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Fill the form with patient name, date of birth, diagnosis, and prescription for NPWT equipment; indicate quantity, duration, and target settings; include physician signature and NPI if required; submit to Liberty Medical Specialties for processing.

Review official form instructions

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