Jackson Diabetic Supply
NPI #1801159157 in Batesville, Mississippi
Provider Information
- NPI Number
- 1801159157
- Entity Type
- Organization
- Organization Name
- Jackson Diabetic Supply
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
- Enumeration Date
- Jun 21, 2012
- Last Updated
- Jun 21, 2012
Practice Location
- Address
- 569 HIGHWAY 6 W
- City
- Batesville
- State
- Mississippi
- ZIP Code
- 38606-9519
- Phone
- (662) 563-1641
Authorized Official
- Name
- TAMEKIA JACKSON
- Title
- ADMINISTRATOR
- Phone
- (662) 563-1641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies |
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