Knoact Medical Supply
Durable Medical Equipment & Medical Supplies in Crystal Springs, MS. Organization (NPI-2).
NPI number1417463530
StatusActive
Last updated in NPPESDec 27, 2017
Details
- NPI
- 1417463530
- Entity type
- Organization (NPI-2)
- Legal business name
- Knoact Medical Supply
- Organization subpart
- No
- Enumeration date
- Dec 27, 2017
- Last updated
- Dec 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 800739368 | MS | Yes |
Practice location
322 E Railroad AveCrystal Springs, MS 39059-2848
Phone 601-879-4202 · Fax 769-233-8683
Mailing address
606 Colonial CirJackson, MS 39211-3206
Phone 601-879-4202 · Fax 769-233-8683
Authorized official
Christopher Montreal Fairman
Owner
6078794202
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