South Mississippi Durable Medical
NPI #1215035498 in Gautier, Mississippi
Provider Information
- NPI Number
- 1215035498
- Entity Type
- Organization
- Organization Name
- South Mississippi Durable Medical
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Feb 6, 2008
Practice Location
- Address
- 1821 OLD SPANISH TRL
- Address 2
- SUITE A
- City
- Gautier
- State
- Mississippi
- ZIP Code
- 39553-6069
- Phone
- (228) 497-9590
Authorized Official
- Name
- MR. CLARENCE A HAMILTON III
- Title
- MEMBER
- Phone
- (504) 813-9037
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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