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Organization
PEACH CREEK PLANTING CO.,INC.
Active
Organization
PEACH CREEK PLANTING CO.,INC.
Active
Other names
Standard Oxygen
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN KELLY THOMAS III (PURCHASING AGENT)
(662) 534-4774
Entity
Organization
Contact information
Practice address
498 W BANKHEAD ST, NEW ALBANY, MS 38652-3319
(662) 534-4774
(662) 534-4775
Mailing address
PO BOX 867, NEW ALBANY, MS 38652-0867
(662) 534-4774
(662) 534-4775
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
04919/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440727
—
MS
Enumeration date
08/17/2006
Last updated
08/22/2020
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