Knoact Medical Supply
NPI #1417463530 in Crystal Springs, Mississippi
Provider Information
- NPI Number
- 1417463530
- Entity Type
- Organization
- Organization Name
- Knoact Medical Supply
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Dec 27, 2017
- Last Updated
- Dec 27, 2017
Practice Location
- Address
- 322 E RAILROAD AVE
- City
- Crystal Springs
- State
- Mississippi
- ZIP Code
- 39059-2848
- Phone
- (601) 879-4202
Authorized Official
- Name
- MR. CHRISTOPHER MONTREAL FAIRMAN
- Title
- OWNER
- Phone
- (607) 879-4202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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