Target Medical Inc, Ms
NPI #1902185788 in Southaven, Mississippi
Provider Information
- NPI Number
- 1902185788
- Entity Type
- Organization
- Organization Name
- Target Medical Inc, Ms
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Aug 10, 2011
- Last Updated
- Oct 19, 2011
Practice Location
- Address
- 7065 AIRWAYS BLVD STE 104
- City
- Southaven
- State
- Mississippi
- ZIP Code
- 38671-5873
- Phone
- (662) 349-1394
Authorized Official
- Name
- THOMAS R BROCKWAY SR.
- Title
- PRESIDENT
- Phone
- (901) 323-1304
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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