Randy's House of Medicine
NPI #1780714386 in Taylorsville, Mississippi
Provider Information
- NPI Number
- 1780714386
- Entity Type
- Organization
- Organization Name
- Randy's House of Medicine
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 6, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 305 FRONT ST
- City
- Taylorsville
- State
- Mississippi
- ZIP Code
- 39168
- Phone
- (601) 785-6812
Authorized Official
- Name
- MRS. DIANE WYATT
- Title
- OWNER
- Phone
- (601) 785-6812
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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