MR. Larry Mcquater
NPI #1336261569 in Jackson, Mississippi
Provider Information
- NPI Number
- 1336261569
- Entity Type
- Individual
- Name
- MR. Larry Mcquater
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Apr 6, 2007
- Last Updated
- Mar 21, 2008
Practice Location
- Address
- 240 MEADOWBROOK RD
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39206-5260
- Phone
- (601) 713-3366
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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