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Durable Medical Equipment & Medical Supplies in Mc Calla, AL. Organization (NPI-2).

NPI number1982509451
StatusActive
Last updated in NPPESOct 13, 2026

Details

NPI
1982509451
Entity type
Organization (NPI-2)
Legal business name
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Organization subpart
No
Enumeration date
Oct 13, 2026
Certification date
Oct 13, 2026
Last updated
Oct 13, 2026

Taxonomy and licenses

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

Practice location

12557 Mulligan Dr
Mc Calla, AL 35111-1639

Phone 205-260-7275

Mailing address

12557 Mulligan Dr
Mc Calla, AL 35111-1639

Authorized official

Ambryous Patton
Owner
2052607275

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