Advanced Mobility Medical Equip Supply

NPI #1205990819 in Dothan, Alabama

Provider Information

NPI Number: 1205990819
Entity Type: Organization
Organization Name: Advanced Mobility Medical Equip Supply
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Dec 20, 2006
Last Updated: Jun 20, 2008

Practice Location

Address: 126 SOUTH ALICE STREET
Address 2: SUITE 4
City: Dothan
State: Alabama
ZIP Code: 36301-1652
Phone: (334) 792-9357

Authorized Official

Name: MR. LAWRENCE A ICHEGBO
Title: OWNER ADM MANAGER
Phone: (334) 792-9357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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