Southern Express Medical Supply, INC

NPI #1265431928 in Georgiana, Alabama

Provider Information

NPI Number: 1265431928
Entity Type: Organization
Organization Name: Southern Express Medical Supply, INC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition
Enumeration Date: Jul 15, 2005
Last Updated: Oct 12, 2015

Practice Location

Address: 125 CHURCH ST
Address 2: SUITE B
City: Georgiana
State: Alabama
ZIP Code: 36033
Phone: (334) 376-0003

Authorized Official

Name: MR. MICHAEL BRUCE
Title: OWNER
Phone: (334) 376-0003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition	332BP3500X	Primary

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