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Madison Medical Equipment LLC

Durable Medical Equipment & Medical Supplies in Madison, MS. Organization (NPI-2).

NPI number1285908020
StatusActive
Last updated in NPPESFeb 24, 2012

Details

NPI
1285908020
Entity type
Organization (NPI-2)
Legal business name
Madison Medical Equipment LLC
Organization subpart
No
Enumeration date
Feb 24, 2012
Last updated
Feb 24, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

805 Lake County Ln
Madison, MS 39110-9544

Phone 601-213-6467 · Fax 601-856-8825

Mailing address

7720 Old Canton Rd
Ste C
Madison, MS 39110-9299

Authorized official

Mary Stephens
Owner/Mbr
6012136467

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