Southern Medical Supply
NPI #1346306156 in Cookeville, Tennessee
Provider Information
- NPI Number
- 1346306156
- Entity Type
- Organization
- Organization Name
- Southern Medical Supply
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
- Enumeration Date
- Dec 28, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1150 PERIMETER PARK DR
- Address 2
- SUITE A
- City
- Cookeville
- State
- Tennessee
- ZIP Code
- 38501-0927
- Phone
- (931) 372-2109
Authorized Official
- Name
- MS. CRYSTAL MARIE PUGH
- Title
- OWNER
- Phone
- (931) 372-2109
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies |
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