Long Beach Pass Medical
NPI #1366629040 in Diberville, Mississippi
Provider Information
- NPI Number
- 1366629040
- Entity Type
- Organization
- Organization Name
- Long Beach Pass Medical
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jan 24, 2008
- Last Updated
- Jan 24, 2008
Practice Location
- Address
- 4476 PIERCE RD
- City
- Diberville
- State
- Mississippi
- ZIP Code
- 39540-3404
- Phone
- (228) 217-4321
Authorized Official
- Name
- MELISSA MILNER
- Title
- OWNER
- Phone
- (228) 217-4321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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